1 / 13

HEMATURIA

HEMATURIA. Dr. Arnold Simandjuntak, Sp.U. Hematuria : - Inisial - Total - Terminal. Sumber Pendarahan Traktus urinarus bagian atas Ginjal + Ureter Traktus urinarus bagian tengah Kandung kemih = Bladder = Blaas Traktus urinarius bagian bawah

jasia
Download Presentation

HEMATURIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HEMATURIA Dr. Arnold Simandjuntak, Sp.U

  2. Hematuria :- Inisial - Total - Terminal • Sumber Pendarahan • Traktus urinarus bagian atas Ginjal + Ureter • Traktus urinarus bagian tengah Kandung kemih = Bladder = Blaas • Traktus urinarius bagian bawah Urethra

  3. Hematuria Penyebab : • Gross haematuria + Painless Tumor : Tumor buli – buli • Makroskopik : 20% disebabkan tumor • Mikroskopik : 2% disebabkan tumor

  4. Hematuria • Makroskpik = Gross haematuria • Mikroskopik • Pseudohaematuria • Haemoglobinuria Lysis erythrocyt : B.J. Urine < 1.008 PH. Urine > 7 • Keluhan : - Urine Merah - Air Teh - Cucian daging

  5. Hematuria • Tanpa sakit : Silent haematuria • Dengan sakit : - Sakit saat miksi - Sakit pinggang - Kolik - Tumpul (“dull pain”)

  6. Pemeriksaan Tujuan : Mencari penyebabnya Cara: • Anamnesis : Bentuk hematuria Gejala lain Trauma Perdarahan lain • Pemeriksaan : Massa flank/pelvis Nyeri tekan - CVA - Suprapublik Kulit

  7. Pemeriksaan Penunjang • BNO-IVP • USG • Urethrocystography • Retrograde pyelografi • Angiografi • Cystoscopy

  8. Penyebab • Anak : Glomerulonefritis akut Infeksi traktus urinarus akut Kelainan kongenital Obstruksi • Dewasa muda : Infeksi akut Urolithiasis Tumor buli-buli

  9. Dewasa : Wanita : Infeksi akut Batu Tumor buli-buli Laki – laki : Tumor buli-buli Batu Infeksi akut Tua : Wanita : Tumor Infeksi Laki – laki : Prostat Tumor Infeksi

  10. Neoplasma Traktus Urinarus Tumor Ginjal • Jinak (Angiomyolipoma) • Ganas - Adenokarsinoma = tumor grawitz = Hypernephroma = Renal cell carcinoma - Nephroblastoma = tumor wilms = Adenomyosarcoma

  11. - Tumor Urothelium - Ca Sel Transisional Pelvis Ginjal Ureter Buli-buli Urethra Penyebab? Rokok Zat Warna: Amin Aromatik (mengganggu metabolisme triptofan)

  12. Tumor buli-buli • Tranisisional cell Ca = 90-95% • Epidermoid Ca (Squamous cell Ca) • Adeno ca jarang = 5% • Prognosis tergantung staging tumor

  13. Terima Kasih

More Related