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BATU SALURAN KEMIH

BATU SALURAN KEMIH. Syaiful Azmi Sub Bagian Ginjal Hipertensi Bagian Penyakit Dalam Fakultas Kedokteran Universitas Andalas /RSUP Dr.M.Djamil Padang. SEJARAH DAN EPIDEMIOLOGI. Mesir 1901 Batu pada mummi zaman 7000- 3000 SM Insiden ↑ As : 5,2% Umur : Dekade 3-5

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BATU SALURAN KEMIH

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  1. BATU SALURAN KEMIH SyaifulAzmi Sub BagianGinjalHipertensiBagianPenyakitDalam FakultasKedokteranUniversitasAndalas/RSUP Dr.M.Djamil Padang

  2. SEJARAH DAN EPIDEMIOLOGI • Mesir 1901 Batupadamummizaman 7000- 3000 SM • Insiden ↑ • As : 5,2% • Umur : Dekade 3-5 • Jender : Laki-laki • Kambuh : 50%

  3. Lokasi • Ginjal : Nefrolitiasis • Ureter : Ureterolitiasis • KandungKemih: Visikolitiasis • Uretra : Uretrolitiasis

  4. komposisi • Kalsium • Oksalat • Fosfat • Asamurat • Struvit • Sistin • Lain- lain • Xantin • Indigo

  5. FaktorRisiko • Intrinsik • Riwayatkeluarga • Umur • Jender • Ekstrinsik • Diet (Protein hewani) • Intake cairan • Obese • Hipertensi • Gout • Hiperparatiroid • Dll

  6. Patogenesis • Interaksi • FaktorGenetik • FaktorBiologik • FaktorBiologik • Supersaturasi • PhUrin • FaktorProtektif • Supersaturasi • Konsentrasibahantertentumelebihidayalarutdalam urine • Misal : • As oxalat • As urat • Sistin • xantin • FaktorProtektif • Sitrat • Magnesium • pirofosfat

  7. BatuKalsium • 70 % • FaktorRisiko • Hiperkalsiuria • Hiperurikosuria • Hiperoxaluria • Hipositraturia

  8. Batu AS Urat • FaktorRisiko • Hiperurikosuria • Phurinasam • Radiolusen

  9. Diagnosis • AN : • Nyeri (kolik) • Hematuri (mikro/makro) • PE : • Bilasudahadakomplikasi • Ureterolitiasis : Hidronefrosis • Uretrolitiasis : Retensiourine • Infeksi • PGK • LAB : • Urinalisis : • Protein uria • Hematuria • Lekosituria • Radiologi : • BNO /IVP • USG • CT Scan • AnalisisBatu

  10. Terapi • Konsertatif : • Analgetik • Batu≤ 5mm • Urin yang cukup 68% keluar • Obat-obat : • Ca Chanel Blocker • Spasmolitik • ΑBloker • Bedah • ESWL • URS • PCNL • Open

  11. Pencegahan • Intake cairan out put 2-3 L/Hr • Diet rendah protein : protein hewani • Batuurat : rendahpurin • Batukalsium : rendahkalsium • Batuoksalat : rendahoksalat, coklat, kacang Prognosis • baikbilatidakadakomplikasi

  12. Terimakasih

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