makalah kasus 4 hiv
TRANSCRIPT
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KELOMPOK X
WANITA HAMIL DENGAN RIWAYAT DRUG USER
Modul Organ Sist! R"rodu#si
03009030 ARUMTYAS CAHYANING W
03009040 AYUNDA AFDAL
03009060 DELITA SAFIRA DANA
03009070 DIANITA KUSUMA WIJAYA
03009080 EVA MARIS SAHARA
03009090 FIRDHA AQMARINA
03009100 GADISTA P ANNISA
03009110 HEN!A AYU PRIMALITA
03009111 HERJUN" DARPIT"
030091#1 INDRASTITI PRAMITASARI
03009130 KHRISNA PARAMAARTHA
03009131 KIKI HAERA RI!KY
03009138 M EVAN EWALD"
03009140 MADE AYU INTAN WINAYATI "
F$%&'($) K*+,%(*-$. U./*-)/($) T-/)$%(/
J$%$-($ #6 J$.&$-/ #01#
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$A$ I
PENDAHULUAN
P*.$'$2&.$$. .$-%,$5 $+$'$2 *.&.$$. $( $($& ,$( *+/) (*-(*.(& $.
+/&.$%$. )*$-$.$. $($& ($.$ -*)* +,%(*- P*.&.$$. $( /./&. *-$$:$$5 +$-/
**-/$. ,-$'5 /.2$'$)/ )$$/ **-/$. /.(-$*.$ ;*$%$/$. /%)**-(/ +*$5
$'$/)*5 $'/$5 )$%/( %*$'$5 +$. )%/. -$)25 +$. *-'$.)&. )*%/($- 1 /.&5 )*(*'$2 /(&
$)&% %* >$)* '$(*. $($& %-,./) +/$.$ $)/*. ($$% )**-(/ ,-$. )*2$( +$'$ *%)/ $/% $(2,*. $&&. ,,-(&./)(/% $%$.
*.*-$. $)/*. )*2/.$ -,.,)/) $%$. )$.$( &-&% &.(&% $)/*. HIV )*.+/-/ &%$.'$2
*.*$ %*$(/$. $/ *.+*-/($.$5 .$&. *.$%/( *.*-($.$'$2 $. *-&$%$.
*.*$ %*$(/$. $)/*. +$-/ *.$%/( -/.$.)**-(/ /.>'&*.$ )$$/ (&*-&',)/) +$.
S$-,$ K$,)/
P*.&'$-$. HIV +$-/ )$(& $)/*. %* $)/*. '$/..$ &. *-$-/$)/5 +$-/ *.&'$-$. )*$-$
)*%)&$' ;)*%-*( $/.$ +$. )**.=5 .,. )*%)&$' ;*.&.$$. &)/
+$-$2= )$$/ %,.*./($'; $%(,- -/)/%, &.(&% (*-(&'$- HIV
2
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$A$ II
LAPORAN KASUS
Ssi %
N Y #7 ($2&.5 +$($. %* ,'/%'/./% %*/+$.$. +$. %$.+&.$. &.(&% **-/%)$
%*2$/'$. M*-&$%$. %*2$/'$. *-($$ ;G1= HPHT 7 ,-$)/ (*.($. 2$' /./5 %$-*.$ ($2&. $. '$'& $)/*.
+$. )&$/ */'/%/ -/?$$( +-& &)*- /)/% +/+$$(%$. B
K*$+$$. && B@$/%
S&2& B 3657C
TD B11070 H
RR B #4*./(
N$+/ B 90 *./( -*&'$- /)/ &%&
M$($ B K,.
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HIV -$/+ (*)( B;=
P$+$ **-/%)$$. )*'$.
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$A$ III
PEM$AHASAN
@*-+$)$-%$. %$)&)5 +/+$$(%$. /.>,-$)/ *.*.$/ $)/*.5 )*$$/ *-/%&(B
'(% Idntitas "asin
N$$ '*.%$ B N Y J*./) K*'$/. BW$./($
U)/$ B #7 ($2&. S&%& $.)$ B :
P*%*-$)$. $+$'$2 *.$%/( T@C=
5
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A$%$2 $+$ )'*-$ $)/*. *-.$2 *-?$-.$ %&./. ;C&-/$ 2*$(/(/) $($& *.$%/( 2$(/=
A$%$2 $)/*. *.$'$/ *.&-&.$. *-$( $+$. ;C&-/$ HIV=
A$%$2 $)/*. &+$2 *.$'$/ *.&-&.$. %*)*2$($. ;C&-/$ HIV %$-*.$ $+$
*.$%/( HIV +$$ ($2$. (&&2 *.&-&. +$. $)/*. $%$. &+$2 (*-)*-$. *.$%/(=
A$%$2 )*'$'& '*'$2
A$%$2 ?$-.$ $/- )*./ ,%'$( /-/ $/- (*2
A$%$2 )&+$2 *-.$2 *'$%&%$. )-**./. T"RCH5 HIV5 H*$(/(/)
.( R/?$$( P*.$%/( D$2&'&
A$%$2 $)/*. *-.$2 *.+*-/($ *.$%/( *-$(5 )**-(/ -/?$$( 2/*-(*.)/5 -/?$$(
*.$%/( /.
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0( Ri,a-at #+iasaan P$)/*. +$. )&$/ */'/%/ -/?$$( +-& &)*-
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'('(% Kadaan U!u! B @$/%
'('(& Tanda 2ital
$ S&2& B 3657,C
N,-$'.$ 365:375#0C P$+$ $)/*. /./ )&2&.$ .,-$' S*+$.%$. $+$ *.+*-/($
HIV /$)$ +/(*&%$. )&2& $. >*-/) $+$ >$)* $%&( ;3:6 /.& )*(*'$2
(*-/.>*%)/=1N$&. )*(*'$2 /(&5 $$/'$ /.>*%)/ HIV *$)&%/ >$)* $)/(,$(/% ;8:
10 ($2&.=5 $%$ ($.+$:($.+$ /.>*%)/ $%&( (*-)*&( +$$( *.2/'$.
D*.&( .$+/ B 90 *./(
N,-$'.$ 60:100 %$'/*./(
P$+$ $)/*. /./ +/+$$(%$. +*.&( .$+/ .,-$'5 2$' /./ *./.+/%$)/%$. $2?$ (/+$%
(*-*%(/>
T*%$.$. +$-$2 B 11070 H
N,-$'.$5 )/)(,'/% 1#0 +$. +/$)(,'/ 80
+ P*-.$$)$. B #4 *./( N,-$'.$ 16:#0*./( N$&. $+$ %$)&) /./5 *./.%$($. *-.$$)$. $.
(*-
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/$)$ +/+$$(%$. *.&-&.$. *-$( $+$. ,)/) 1
III( K"ala dan L)r B
$ M$($ B K,.
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3II(Pa-udara B :
IX( Gnitalia E#strna dan IntrnaB :
XI( Anus dan r.tu! B :
XII( E4tr!itas atas dan +a,a) B A%-$' 2$.$(5 ,*+* ;:=
A%-$' 2$.$( *./.+/%$)/%$. $2?$ *->&)/ +$-$2 %*
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>&.)/ SSP A%(//($) *-$%$. 11
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V$-/$)/ DJJ +/)*$%$. %*)*/$.$. -$.)$. SSP5 +$$( *-&$2 +*.$. $+$.$
*-$%$. $%(,- /.(-/.)/%= $($& %,.(-$%)/ &(*-&) ;>$%(,- *%)(-/.)/%= P$+$
2/,%)/$5 DJJ $%$. *./.%$( )*$$/ &$$ %,*.)$)/5 (*($/ $+$ %*$+$$.
$.,%)/$ >-*%&*.)/ DJJ *-%&-$. $($& *.2/'$. )*%$'/&. +/*-/ -$.)$.
S*'$/. /(&
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7nis
P!ri#saan
Hasil -ang
dida"at
Kadar nor!al Intr"rtasi )asil
D$-$2 R&(/.B
H*,',/. 1# +' 11:165 +' N,-$'
Lu#osit 4 000 L >(999:
%9(999
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(*-/' )**. *.&.*%)/ +$'$ (&&25 */(& ,)/( /$)$.$
*%)/ HIV P*./.%$($. LED *.&.*%)/ %-,./)
J$+/5 $+$ **-/%)$$. +$-$2 -&(/. /./ +/+$$(%$. $2?$ $)/*. *.$'$/ /.>*%)/
%-,./)5 +$'$ 2$' /./ *.*$.$ $+$'$2 HIV
P$+$ **-/%)$$. '$.*%)/ H*$(/(/) @ U-/.$'/)$ ;:=5 $. *-$-(/ .,-$' $+$ **-/%)$$. L$'& $+$
**-/%)$$. HIV -$/+ (*)( +/+$$(%$. 2$)/' $. ,)/(/>5 /./ *.$.+$%$. $2?$ $)/*.
,)/(/> (*-/.>*%)/ HIV L$'& /-$' ',$+ $. *.$$/ 10000 ,/*)5 /./ *.$.+$%$.
$2?$ -*'/%$)/ /-&) $+$ DNA )*' 2,)( -*'$(/> (/./ HIV /-$' ',$+ (*)( $+$'$2
*.&%&-$. )*$-$ %&$.(/($(/> *.*.$/ RNA +$-/ HIV HIV /-$' ',$+ /./ *.(/. &.(&%
*,./(,- )($(&) *.$%/( HIV5 *-*.$.$$. (*-$/ +$. *-%/-$$. -,.,)/) S**.($-$
CD4 $+$ %$)&) /./ )&+$2 +/$?$2 $.%$ .,-$'5 .$&. *'& $)&% $+$ >$)* -*.($.
)*2/.$ &.%/. $)/*. *'& (*-%*.$ /.>*%)/ ,,-(&./)(/% J&'$2 CD4 $. +/$?$2
$($& )$$ +*.$. #005 $%$ $)/*. (*-)*&( )&+$2 (*-%*.$ AIDS N/'$/ CD4 /./ /5 &.(&% *.*($2&/ +*.&(
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'(> Da0tar Masala)
@*-+$)$-%$. 2$)/' $.$.*)/)5 **-/%)$$. >/)/% +$. *.&.($-
$)$'$2 N Y )*$$/ *-/%&(B
Da0tar Masala) Dasar Masala) Hi"otsis
R/?$$( IVDU A.$.*)/)B
- P$)/*. +/$.
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$+$ %*2$/'$..$- P$)/*. +$. )&$/ ($2&.
$. '$'& $)/*. */'/%/
-/?$$( +-& &)*- *%(/>
+= S* (-$./((*+ +/)*$)*
T$%/.,* P**-/%)$$. F/)/%B
RR #4*./(
H/,(*)/)B
$= K*2$/'$.
= P*.$%/( $-&
L*&%,*./$ P**-/%)$$. '$,-$(,-/&B
- L*&%,)/( 4000'
H/,(*)/)B
$= I.>*%)/ /-&)= K*'$/.$. )&:)& (&'$.
= HIVAIDS
L/>,*./$ P**-/%)$$. '$,-$(,-/&B
- H/(&. *%)/ /-&) HIV A.$.*)/)B
- L/$ ($2&. $. '$'&
$)/*. +$. )&$/ */'/%/
-/?$$( +-& &)*-
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C$-$ $)&%.$ /-&) HIV %* +$'$ )*' (-,/) $/(& CD4 +$. $%-,>$B PAT"GENESIS
B
18
Gp120nuc!eus
P24Re"erse
#ranscriptas
Protein
en"e!ope
G1#0 *-/%$($.
+*.$. -**(,-
)*)/>/% +/ CD4
D/($$2 /%$($. ,-*)*(,-
,'*2 2*,%/.* CCR +$.
CCR4
P*.*(-$)/ )*' /-&) %*
+$'$ )*' 2,)( ;=
T*-&)/ /-&) $.
$)&% %* +$'$ )*'
2,)( +*.$. 41
S*' /-&) &.,$(*+ +$'$
)/(,'$)$
RNA /-&) +/&$2
*.&)/
%*+$'$ .&%'*&) )*' 2,)(
I.(*-$)/ DNA )*' /-&) +$.
)*' 2,)(
M**.(&% RNA
/-&) $. $-&
S/.(*)/) -,(*/. /-&)
+*.$. *.,/ RNA
/-&) $-&
T*-*.(&% $)/+2$)/'%$. VIRI"N $. $-&
*.&
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J$'&- T-$.)/)/ HIV
T*-/.>*%)/ +$-/ $)$.$. )*%)&$'
M,(2*- (, 2/'+ (-$.)/))/,.
I.*%)/ HIV +$-/
/& %* $/5 +$$( +/'$%&%$. 2$' )*$$/ *-/%&(B
1=Medikamentosa
P**-/$. (*-$/ ARV ;$.(/ -*(-,/-&)= )*$-$ %,/.$)/5 %,/.$)/ (*-)*&(
+//.+/%$)/%$. $+$ $)/*. /./ %$-*.$ /-$' ',$+.$ )&+$2 '*/2 +$-/ 1000 ,/*)' ARV
/./ +/&'$/ )*)**-$ &.%/. %$-*.$ )*$%/. (/./ %$+$- HIV $%$ $%$. )*$%/. *)$-
-*)/%, *.&'$-$. $+$ $/ )$$( +/%$.+&.$.5 )*-($ %$+$- HIV $. (/./ +$$( )*$%/.
*.&-&.%$. /&./($) /& )*2/.$ *./.%$(%$. -*)/%, (/&'.$ /.>*%)/ ,,-(&./)(/%
)**-(/ (&*-%&',)/)5 (,%),'$),)/)5 2*-*) +$. %$.+/+/$)/)
R*/*. ARV *'/&(/ $.$', .&%'*,)/+$ ;/+,&+/.5 $')/($/.5 +/+$.,)/.5
)($&+/.5 '$/&+/. +$. $$%$/-=5 $.$', .,.:.&%'*,)/+$ ;.*/-$/.5 +*'$/-+/.5
*>$/-*.=5 +$. /.2//(,- -,(*$)* ;/.+/.$/-5 -/(,.$/-5 )$%&/.$/-5 .*'>/.$/-5 $-*.$/-=
P$+$ ?$./($ 2$/' (*-$/ ARV (*-)*&( +/*-/%$. )*$ (/./.$ $.%$ ,-($'/($) +$.
19
L*&%,)/( '/>,)/(
LED 5 HIV -$/+(*)( ;=
M*./.$'%$. )*'2,)( )*' 2,)( *.
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,-/+/($) Y$. *-'& +/*-2$(/%$. $+$'$2 *.2/.+$-/ *>$/-*. $+$ %*2$/'$.
(-/*)(*- *-($$ )*-($ /'$ /& 2$/' (*-)*&( *.+*-/($ (&*-%&',)$ )*$/%.$ (/+$%
+/*-/%$. .*/-$/. P**-/$. (*-$/ ARV /./ *-'& +/,./(,- +*.$. **-/%)$ CD4
+$. /-$' ',$+ H$)/'.$ +/2$-$%$. (*-&) %,.(/.& 1%
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: M*.*% )$/. ,$( ARV +/*+&%$)/ $2?$
(/./.$ ,-/+/($) +$. ,-($'/($) $/ +/-/.$ +$. $/ '*/2 *)$- /'$ (/+$% +/(*-$/
ARV
I.(-$$-(&
P-,)*) %*'$2/-$. )*$/%.$ *'$'&/ )*%)/, )*)$-*$ (*-*.$.$5 2$' /./ &.(&% *.*$2
*.&'$-$. HIV $+$ $/ S*$ >$%(,- $-$ *.&'$-$. )$$( *-)$'/.$. $/(& *'$'&/
*.$&-$. +$-$2 /& +$. $/5 *-)$'/.$. $. '$$ +$. %*(&$. *$2 '*/2 +$-/ 4
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ASI +/*-/%$. *%)%'&)/>5 %$-*.$ /'$ +/($$2 PASI5 PASI (*-)*&( $%$. *.*$%$.
*-+$-$2$. %*/' $+$ &)&) $/ +$. /-&) +$'$ ASI $%$. '*/2 &+$2 +/)*-$
ASI *-$2 +/$)(*&-/)$)/ $($& ?$+$2 ASI +/$)&%%$. %*+$'$ $/- $. $-& )$>,-+$'* ;(*-*$)/'* ;-$%(/)=5 $*($'* ;+/(*-/$ ,'*2
'/.%&.$.=5 )$>* ;$$.=5 +$. )&)($/.$'* ;*-%*)/.$&.$.=
: E+&%$)/ $$- PASI +/*-/%$. +$'$ *%)/ )*2/$ )*-/.%$'/ $/ $. +/*-/ PASI '*/2
*-*)/%, (*-%*.$ /.>*%)/=
: P*-'&.$ )/%,),)/$' )&,-(5 (*-&($$ )$$( *.&.& +/$.,)/) /.>*%)/ *+/$(-/% $+$
$/.$ S*2/.$ *-'& &'$ **-/ *+&%$)/ $+$ %*'&$-$ (*-+*%$( $)/*. &.(&%
**-/%$. )&,-( )/%,),)/$' (*-)*&(
: K,.)*'/. */'/2$. $'$( %,.(-$)*)/
@/'$ $)/*. +$. *%)/ HIV )*$/%.$ */'/2 %,.(-$)*)/ $-/*- %,.+,
P*-'& +/*+&%$)/%$. $2?$ %*&.%/.$. $%$. (/&' *>*% (*-2$+$ %$+$- 2,-,. /'$ $)/*.
*/'/2 %,.(-$)*)/ ,-$' $($& )&.(/%$. S*+$.%$. AKDR ;$'$( %,.(-$)*)/ +$'$ -$2/=
)**-(/ IUD +$$( +//'/2
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: A!T +/(*-&)%$. )*'$$ 7 2$-/
I.(-$$-(&/'$ /& *'& *-.$2 +/(*-$/ )*'$$ %*2$/'$.
R*/*.B : NVP +,)/) (&.$' A!T &.(&% $/ $+$ 48
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$+$ $/.$
+ M*././(/) K-/(,%,%$'
M*././(/) $+$'$2 /.>'$$)/ $+$ *-$.* +$. $/-$. )*%/($- ,($% +$.
)/.$' ,-+ ;*./.*)= P*.$%/( /./ *-&$%$. *.$%/( ))(* )$-$> &)$( $.
$.$% *-%$/($. +*.$. /.>*%)/ HIV P*.$%/( /./ +/)*$%$.,'*2 *%)/ *$(/%$. /./ +/)*$%$. ,'*2 $-$)/( Toxoplasma gondii P$-$)/( /./
+/)*$-%$. ,'*2 %&/. K&/. $. (*-/.>*%)/ $%$. **$-%$. $-$)/(.$ *'$'&/
%,(,-$. *-*%$5 %*&+/$. $-$)/( $%$.*.*$- %* 2*?$.'$/..$
S*'$/. -*.($. (*-*%)/ ,,-(&./)(/%5 HIVAIDS
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Ad 3ita!* Du+ia ad $ona!
K$/ *.*.(&%$. -,.,)/) $+ /($ +&/$ $+ ,.$ %$-*.$ $$/'$ N Y
*.,.)&)/ ,$( $.(/-*(-,/-$' )*$-$ (*-$(&-5 N Y (/+$% $%$. (*-%*.$ *.$%/(
,,-(&./)(/% +$-/ HIV +$. HIV (/+$% $%$. *.&'$-/
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$A$ I3
TIN7AUAN PUSTAKA
=(% $arir Plasnta
P'$)*.($ *-$)$' +$-/ (-,>/'$) P'$)*.($ */'/%/ **-$$ >&.)/ $/(& &.(&%
-*)/-$)/5 *.$'&-%$. .&(-/)/ +$-/ /& %* &.)/ &.(&% )*$$/ *-$. &.(&% *.*'*%)/ $(:$( +$-/
/& $. +$$( )$$/ %* ,'$)
3 M*-$.$ $)$'/) )/(,(-,>
4 M*-$.$ $)$'/) *.+,(*' %$/'*-
S/(,'$)$ *.+,(*' %$/'*-
26
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=(& In0#si -ang da"at ditular#an !lalui 5aru! sunti# "ada I3DU
%( HI3//*. V/-&)5 $+$'$2 /-&) $. *.*-$. )/)(*
%*%*$'$. (&&2 $.&)/$ +$. %*&+/$. *./&'%$. AIDS HIV *.*-$. )$'$2 )$(&
$/$' ?$ %*&.%/.$. $+$ 3 $/ $. '$2/- +*.$.
HIV ,)/(/>
27
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+ S*$-$ '$.)&. ;(-$.)>&)/ +$-$25 -,+&% +$-$2 $($& (-$.)'$.($)/ ,-$. (&&2 $.
(*-*$- HIV= ' L*?$( $'$(:$'$( ;$)/'/($) && *-)$$5 )**-(/ (*'*,. &&5 WC &&5 +$.
%,'$ -*.$.
C/&$.5 )*.,'$.5 *'&%$. +$. %*/$($. )*2$-/:2$-/ '$/..$ L*?$(
%*-/.$(5 $($& //($. .$&%
&( H"atitis $
H*$(/(/) @ $+$'$2 )&$(& *.$%/( 2$(/ $. +/)*$%$. ,'*2 /-&) 2*$(/(/) @5 )&$(&
$.,($ >$/'/ 2*$+.$/-&) $. +$$( *.*$%$. *-$+$.$. 2$(/ $%&( $($& *.$2&.
$. +$$( *-'$.*%)/ H@V +$-/ /& 2$/' %*$+$ $/ $. +/'$2/-%$..$ +$$(
(*-
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C$-$ *.&'$-$. 2,-/,.($' (*- *'$'&/ ,-*)$. $($& $-$)/ %&'/( +$. -$+$. %&'/(
b. Mlalui Sla"ut Lndir
S*'$&( '*.+/- $. +/+&$ *.
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P*.&'$-$. H*$(/(/) C /$)$.$ *'$'&/ %,.($% '$.)&. +*.$. +$-$2 $($&
-,+&%.$ +$. *%)/
H*$(/(/) C *'$'&/ 2&&.$. )*%)&$' '*/2 (/./ $+$ ,-$. $. *&.$/ '*/2 +$-/
)$(& $)$.$.
P*.&'$-$. H*$(/(/) C *%)/ $+$ endokardium ;)*'$&( +$$( (*-*%)/ $+$'$2 %$(& $. $.,-$' $($& %$(&
$. -&)$% (*($/ %$(& $. .,-$'&. +$$( (*-/.>*%)/ ,'*2 $%(*-/ $. $-*)/>5 (*-&($$
*%)/ %*/' $+$ %&'/( +$. /.>*%)/ $+$ $/$. (&&2 '$/..$5
/)$ *-(/.+$% )*$$/
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=('(& Pnularan HI3*%)/
HIV +$$(
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S**-(/ +/(&.$%(,- -/)/%, *.&.$%(,- &($$ &.(&% *.
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F$%(,- $. $'/. &($$ **.$-&2/ -/)/%, *.&'$-$. HIV +$-/ /& %* $/
$+$'$2 %$+$- HIV ;viral load= +/ +$-$2 /& $+$ *.
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: K*(&$. *$2 '*/2 +$-/ 4 *%)/ /-&)5
$%(*-/5 $-$)/(
I& *.$'$/ *$2
%*(&$. '*/2 +$-/ 4 *%)/ '$/..$=
@$/ */'/%/ '&%$ +/
&'&(
=('(' Klasi0i#asi In0#si HI3
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$A$ 3
KESIMPULAN
HIVAIDS *-&$%$. )$'$2 )$(& *.$%/( $. +$$( +/(&'$-%$. *'$'&/ $/'/ -*(-,/-/+$* +$. *.&) '*.(//-&) HIV +/$/ *.*%)/ HIV $. '*/2 )*-/. (*-
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K*&.%/.$. N Y *./+$ *.$%/( /./ +/$%/$(%$. N Y +$. )&$/.$ $+$'$2 $.($.
*.&.$ .$-%,$ ,- HIV A$/'$'* $( B 2((B????*+,2/:$/+)*+/$':
2/)(,-:$.+:2)/$':*$:>,-:2/:/.>*(/,. U+$(* ,. B A-/' 8 5 #010 A*))*+ ,. B
J$.&$- #4 5 #01#
# M,)* JC5 A'$)$2 M5 H&+,., ST5 H$.+$$5 H$+/)$&(-$ W P**-/%)$$. G/.*%,',/%
I. B I'& K$.+&.$. A.?$- M5 @$/$+ A5 P-$,?, RP ;*+/(,-= 3-+E+ J$%$-($B PT @/.$
P&)($%$ S$-?,., P-$?/-,2$-+
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4 A$+/ A K$-+/,(,%,-$>/ J$./. +$. V*',)/*(-/ D,'*- I.B S$/>&++/. A@5 R$2/2$+2/ T5
W/%./ D$'$ ")(*(-/ I.B S$/>&++/. A@5 R$2/2$+2/ T5 W/%.