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  • 7/28/2019 Dispepsia Dari Medicalnet

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    Pencernaan (Dispepsia, Perut Upset)

    Digestive Disease Myths Slideshow PicturesGambar Penyakit Pencernaan

    Slideshow Mitos

    Heartburn Slideshow PicturesHeartburn Slideshow Foto

    Diverticulitis (Diverticulosis) Slideshow PicturesDiverticulitis (Diverticulosis)

    Slideshow Pictures

    Medical Author:Jay W. Marks, MDKedokteran Author:Marks W. Jay, MD

    Medical Editor:William C. Shiel, Jr., MD, FACP, FACRKedokteran Editor:William C.

    Shiel, Jr, MD, FACP, FACR

    What is dyspepsia (indigestion)?Apakah dispepsia (gangguan pencernaan)? What are the symptoms of dyspepsia (indigestion)?Apa saja gejala dispepsia

    (gangguan pencernaan)? What causes dyspepsia (indigestion)?Apa yang menyebabkan dispepsia (gangguan

    pencernaan)?

    What is the course of dyspepsia (indigestion)?Apa saja dispepsia (gangguanpencernaan)?

    What are the complications of dyspepsia (indigestion)?Apa komplikasi dari dispepsia(gangguan pencernaan)?

    How is dyspepsia (indigestion) diagnosed?Bagaimana dispepsia (gangguanpencernaan) didiagnosis?

    Exclusion of other diseasesPengecualian dari penyakit lain Specific tests of gastrointestinal functionKhusus tes fungsi gastrointestinal How is dyspepsia (indigestion) treated?Bagaimana dispepsia (gangguan pencernaan)

    dirawat?

    What is a reasonable approach to the diagnosis and treatment of dyspepsia(indigestion)?Apakah pendekatan yang wajar dengan diagnosa dan pengobatan

    dispepsia (gangguan pencernaan)?

    What is in the future for dyspepsia (indigestion)?Apa yang ada di masa depan untukdispepsia (gangguan pencernaan)?

    Dyspepsia (Indigestion) At A GlanceDispepsia (pencernaan) Sekilas Patient Discussions: Indigestion (Dyspepsia, Upset Stomach) - TreatmentsPasien

    Diskusi: pencernaan (Dispepsia, Perut Kesal) - Perawatan

    Patient Discussions: Dyspepsia - Describe Your SymptomsDiskusi Pasien:Dispepsia - Menjelaskan Gejala Anda

    Find a local Gastroenterologist in your townCari Gastroenterologist lokal di kotaAnda

    What is dyspepsia (indigestion)? Apakah dispepsia (gangguan pencernaan)?

    Dyspepsia is one of the most common ailments of the bowel (intestines), affecting an

    estimated 20% of persons in the United States. Dispepsia adalah salah satu penyakit yang

    paling umum dari usus (usus), yang mempengaruhi 20% diperkirakan orang di Amerika

    Serikat. Perhaps only 10% of those affected actually seek medical attention for their

    dyspepsia. Mungkin hanya 10% dari mereka yang terkena dampak benar-benar mencariperhatian medis untuk dispepsia mereka. Dyspepsia is not a particularly good term for the

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  • 7/28/2019 Dispepsia Dari Medicalnet

    2/26

    ailment since it implies that there is "dyspepsia" or abnormal digestion of food, and this most

    probably is not the case. Dispepsia bukan istilah sangat baik untuk penyakit itu sejak

    menyiratkan bahwa ada "dispepsia" atau abnormal pencernaan makanan, dan ini

    kemungkinan besar tidak terjadi. In fact, another common name for dyspepsia is indigestion,

    which, for the same reason, is no better than the term dyspepsia! Bahkan, nama lain umum

    untuk dispepsia adalah gangguan pencernaan, yang, karena alasan yang sama, tidak lebihbaik daripada istilah dispepsia! Doctors frequently refer to the condition as non-ulcer

    dyspepsia. Dokter sering mengacu kepada kondisi sebagai dispepsia non ulkus.

    Dyspepsia (indigestion) is best described as a functional disease. Dispepsia (gangguan

    pencernaan) paling tepat digambarkan sebagai penyakit fungsional. (Sometimes, it is called

    functional dyspepsia.) The concept of functional disease is particularly useful when

    discussing diseases of the gastrointestinal tract. (Kadang-kadang, hal itu disebut dispepsia

    fungsional.) Konsep penyakit fungsional sangat berguna ketika membahas penyakit pada

    saluran pencernaan. The concept applies to the muscular organs of the gastrointestinal tract-

    esophagus, stomach, small intestine, gallbladder, and colon. Konsep ini berlaku untuk organ

    otot dari lambung-kerongkongan saluran pencernaan,, usus kecil, kandung empedu, dan ususbesar. What is meant by the term, functional, is that either the muscles of the organs or the

    nerves that control the organs are not working normally, and, as a result, the organs do notfunction normally. Yang dimaksud dengan istilah, fungsional, adalah bahwa baik otot-otot

    dari organ-organ atau saraf yang mengendalikan organ-organ tidak bekerja normal, dan,

    sebagai akibatnya, organ-organ tidak berfungsi normal. The nerves that control the organs

    include not only the nerves that lie within the muscles of the organs but also the nerves of the

    spinal cord and brain. Saraf yang mengendalikan organ-organ meliputi tidak hanya saraf yang

    terletak dalam otot-otot dari organ-organ tetapi juga saraf sumsum tulang belakang dan otak.

    Some gastrointestinal diseases can be seen and diagnosed with the naked eye, such asulcers

    of the stomach. Beberapa penyakit pencernaan dapat dilihat dan didiagnosis dengan mata

    telanjang, sepertitukak lambung. Thus, ulcers can be seen at surgery, on x-rays, and and by

    endoscopy. Dengan demikian, borok dapat dilihat di operasi, di x-ray, dan dan dengan

    endoskopi. Other diseases cannot be seen with the naked eye but can be seen and diagnosed

    under the microscope. Penyakit lain tidak dapat dilihat dengan mata telanjang tetapi dapat

    dilihat dan didiagnosis bawah mikroskop. For example,gastritis(inflammation of the

    stomach) is diagnosed by microscopic examination of biopsies of the stomach. Sebagai

    contoh,gastritis(radang lambung) didiagnosis dengan pemeriksaan mikroskopis biopsi

    lambung. In contrast, gastrointestinal functional diseases cannot be seen with the naked eye

    or with the microscope. Sebaliknya, penyakit fungsional pencernaan tidak dapat dilihat

    dengan mata telanjang atau dengan mikroskop. In some instances, the abnormal function canbe demonstrated by tests (for example, gastric emptying studies or antro-duodenal motility

    studies). Dalam beberapa kasus, fungsi abnormal dapat ditunjukkan dengan tes (misalnya,

    studi pengosongan lambung atau studi antro-duodenal motility). However, the tests often are

    complex, are not widely available, and do not reliably detect the functional abnormalities.

    Namun, tes seringkali sangat kompleks, tidak tersedia secara luas, dan tidak dipercaya

    mendeteksi kelainan fungsional. Accordingly, and by default, functional gastrointestinal

    diseases are those that involve abnormal function of gastrointestinal organs in which the

    abnormalities cannot be seen in the organs with either the naked eye or the microscope. Oleh

    karena itu, dan secara default, penyakit gastrointestinal fungsional adalah mereka yang

    melibatkan abnormal fungsi organ pencernaan di mana kelainan tidak dapat dilihat pada

    organ dengan baik mata telanjang atau mikroskop.

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  • 7/28/2019 Dispepsia Dari Medicalnet

    3/26

    Occasionally, diseases that are thought to be functional are ultimately found to be associated

    with abnormalities that can be seen. Kadang-kadang, penyakit yang dianggap fungsional pada

    akhirnya ditemukan terkait dengan kelainan yang dapat dilihat. Then, the disease moves out

    of the functional category. Kemudian, penyakit bergerak keluar dari kategori fungsional. An

    example of this would beHelicobacter pylori(H. pylori) infection of the stomach. Contoh ini

    akanHelicobacter pylori(H. pylori) infeksi lambung. Some patients with mild uppergastrointestinal symptoms who were thought to have abnormal function of the stomach or

    intestines have been found to have stomachs infected withH. Beberapa pasien dengan gejala

    ringan pencernaan bagian atas yang diduga memiliki fungsi normal dari perut atau usus telah

    ditemukan memiliki perut terinfeksiH.pylori .pylori. This infection can be diagnosed under

    the microscope by identifying the bacterium. Infeksi ini dapat didiagnosis di bawah

    mikroskop dengan mengidentifikasi bakteri. When patients are treated with antibiotics, theH.

    Ketika pasien diobati dengan antibiotik,H.pylori and symptoms disappear.pylori dan gejala

    menghilang. Thus, recognition of infections withHelicobacter pylori has removed some

    patients' systems from the functional disease category. Dengan demikian, pengakuan dari

    infeksi denganHelicobacter pylori telah dihapus pasien 'sistem beberapa dari kategori

    penyakit fungsional.

    The distinction between functional disease and non-functional disease may, in fact, be blurry.Perbedaan antara penyakit fungsional dan penyakit non-fungsional mungkin, pada

    kenyataannya, menjadi kabur. Thus, even functional diseases probably have associated

    biochemical or molecular abnormalities that ultimately will be able to be measured. biokimia

    demikian, penyakit bahkan fungsional berhubungan atau mungkin memiliki kelainan

    molekuler yang pada akhirnya akan dapat diukur. For example, functional diseases of the

    stomach and intestines may be shown ultimately to be associated with reduced or increased

    levels of normal chemicals within the gastrointestinal organs, the spinal cord, or the brain.

    Sebagai contoh, penyakit fungsional dari lambung dan usus dapat ditampilkan pada akhirnya

    berhubungan dengan tingkat dikurangi atau ditambah bahan kimia normal dalam organ

    pencernaan, saraf tulang belakang, atau otak. Should a disease that is demonstrated to be due

    to a reduced or increased chemical still be considered a functional disease? Haruskah

    penyakit yang dibuktikan karena dikurangi atau ditambah bahan kimia masih dianggap

    sebagai penyakit fungsional? I think not. Saya pikir tidak. In this theoretical situation, we

    can't see the abnormality with the naked eye or the microscope, but we can measure it. Dalam

    situasi teoritis, kita tidak dapat melihat kelainan dengan mata telanjang atau mikroskop, tetapi

    kita bisa mengukurnya. If we can measure an associated or causative abnormality, the disease

    probably should no longer be considered functional. Jika kita dapat mengukur suatu kelainan

    yang berhubungan atau penyebab, penyakit ini mungkin seharusnya tidak lagi dianggap

    fungsional.

    Despite the shortcomings of the term, functional, the concept of a functional abnormality is

    useful for approaching many of the symptoms originating from the muscular organs of the

    gastrointestinal tract. Meskipun kekurangan, istilah fungsional, konsep kelainan fungsional

    berguna untuk mendekati banyak gejala yang berasal dari organ-organ berotot dari saluran

    pencernaan. To repeat, this concept applies to those symptoms for which there are no

    associated abnormalities that can be seen with the naked eye or the microscope. Untuk

    mengulang, konsep ini berlaku untuk gejala-gejala yang tidak ada terkait kelainan yang dapat

    dilihat dengan mata telanjang atau mikroskop.

    While dyspepsia is a major functional disease(s), it is important to mention several otherfunctional diseases. Sedangkan dispepsia merupakan penyakit fungsional utama (s), penting

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