kuliah s2 keperawatan leprosy diagnosis and treatment
TRANSCRIPT
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
1/27
LeprosyLeprosyDiagnosis and Treatment
DR. Dr. M. Yulianto Listiawan, SpKK(K),FINSDV, FAADV
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
2/27
Diagnosis of leprosy is based on clinicalsigns and symptoms.
ONE of following cardinal sign:1. Hypopigmented or reddish skinlesions! with de"nite loss of sensation#
$. %n&ol&ement of the peripheral ner&es'as demonstrated by loss of sensation andweakness of the m(scles of hands' feetor face#
). skin smear positi&e for acid*fast bacilli.
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
3/27
+kin lesion
* single or m(ltiple'
* (s(ally less pigmented than thes(rro(nding
normal skin
* sometimes the lesion is reddish or copper*
colo(red * a &ariety of skin lesions may be seen b(t
mac(les ,at!' pap(les raised!' or
nod(les are common
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
4/27
+ensory loss is a typical feat(re of leprosy
The skin lesion may show loss ofsensation to pin pick and-or light to(ch
thickened ner&e is often accompanied
by other signs as a res(lt of damage tothe ner&e.
These may be loss of sensation in the
skin and weakness of m(scles s(ppliedby the a/ected ner&e
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
5/27
Memiliki sifatMemiliki sifat4 – A :4 – A :
AnaesthesiAnaesthesi
AnhydrosisAnhydrosis
AchromiaAchromia
AtrophyAtrophy
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
6/27
Light to(ch
Temperat(rediscrimination0ain pin prick!
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
7/27
NE2E ENL3E4ENT
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
8/27
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
9/27
5%: total n(mber of bacilli4%: 6 of solid staining bacilli' n(mber of &iablebacilli
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
10/27
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
11/27
Classifcation o l!pros"Classifcation o l!pros"Leprosy can be classi"ed on the basis
of clinical manifestations and skinsmear res(lts.
+kin smears 1. 0a(cibacillary leprosy 05! :negati&e
smears at all sites$. 4(ltibacillary leprosy 45! : positi&e
smears at any site
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
12/27
7linical criteria for classifying anddeciding the appropriate treatmentregimen for indi&id(al patientspartic(larly in &iew of the non*
a&ailability or non*dependability of theskin*smear ser&ices!
0a(cibacillary leprosy : $*8 skin lesions
4(ltibacillary leprosy : 9 "&e skin lesions
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
13/27
p to 1;< bacteriaper gram tiss(e
0henolic3lycoLipid*1
Lepromin test
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
14/27
#AM$ARAN KLINIKM.%.
&'$RC'LID $RDRLINL*RMA&'S
CLL'LAIRIMM'NI&Y
%'MRALIMM'NI&Y
+'MLA%$ASILK'S&A
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
15/27
L*RSY CLASIFFICA&INL*RSY CLASIFFICA&IN
% (-/0 )1% (-/0 )1
*ausi2$asil!r (*$) M'L&I2$ASILR (M$)
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
16/27
*olar &u3!rculoi4*olar &u3!rculoi4 &"p!&"p!
( && )( && )
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
17/27
$or4!rlin! &u3!rculoi4( $& )
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
18/27
Mi42
3or4!rlin!
( $$ 5 t"p!)
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
19/27
$or4!rlin! L!pro6atous( $L )
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
20/27
*olar L!pro6atous ( LL )*olar L!pro6atous ( LL )
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
21/27
L*RSY7S CM*LICA&IN
• 1. 4adarosis
• $. +addle nose
• ). 3ynecomastia• =. Hand and foot dissability
• 8. E7T%ON O> LE0O+?
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
22/27
Lagoptalm(s ofreaction
+DDLE NO+E
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
23/27
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
24/27
% R!co66!n4!4 tr!at6!nt% R!co66!n4!4 tr!at6!nt
r!8i6!nsr!8i6!ns
Dapson! Ria6picin
d(lt
8; * @; kg
1;; mg
3i&en daily
A;; mg
3i&en once a month(nder s(per&ision
7hild1; * 1= yearsa
8; mg3i&en daily
=8; mg3i&en once a month(nder s(per&ision
a dC(st dose appropriately for child less than 1; years. >oreample' dapsone $8 mg daily and rifampicin );; mg gi&en once amonth (nder s(per&ision
9 Mont: r!8i6!n or *auci3acillar" (*$)L!pros"
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
25/27
-; 6ont: r!8i6!n or-; 6ont: r!8i6!n or Multi3acillar"Multi3acillar"
(M$) L!pros"(M$) L!pros"Dapson! Ria6pici
nRia6picin
Cloaor
eample' dapsone $8 mg daily' rifampicin );; mg gi&en once amonth (nder s(per&ision' clofaimine' 8; mg gi&en twice a week'and clofaimine 1;; mg gi&en once a month (nder s(per&ision
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
26/27
-
8/18/2019 Kuliah S2 Keperawatan Leprosy Diagnosis and Treatment
27/27