Lbm 6 Reproduksi

8/13/2019 Lbm 6 Reproduksi

1/27

JOKO WIBOWO S (012116424)


2/27

1. Why she had mens over 15 days and a

lot of blood out of the birth canal?

Etiology: Organic

Functional (ovulatory & anovulatory), and

Psychological complications of contraception Etiologyirregular menstrual cycleprolonged

bleeding & outside the menstrual

cyclemenometrorhagia

Manuaba,chandradinata.dkk. 2004. Gawat-darurat Obstetri-

ginekologi & Obstetri-ginekologi sosial untuk profesi bidan.

Jakarta: EGC.


3/27

Patofisiologi gangguan perdarahan metropatia hemorrhagika menurut

Prawirohardjo (2005)


4/27

.menstrual cycle somtimes

twice in a month ? Etiology: Organic

Functional (ovulatory

& anovulatory), and Psychological

complications of

contraception

Etiologyirregularmenstrual cycle


5/27

.found to interfere with the

activity? Autonomic nervous:lumbar and sacralsegments

Visecerosensibel fibers

by plexus uterovaginalis Etiologymass, an

increase in estrogen,inflammationincreasein uterine sizepain

Manuaba,chandradinata.dkk. 2004.Gawat-darurat Obstetri-ginekologi &Obstetri-ginekologi sosial untuk profesibidan. Jakarta: EGC.


6/27

4. Why is the foul-smelling discharge was

found between the two menstrual

cycles?

myoma uterichanges in the blood supply forgrowthsecondary changes or

degenerativedeficit circulationnecrosis in

center of the tumor

infection

septic

foul-smelling discharge.

Prawirohardjo, Sarwono. 2010. ILMU KEBIDANAN. Jakarta:

PT Bina Pustaka.


7/27

5. Why she had anemia and whats to do

with the state of the obese patient's

illness?

Anemia:As a result of the bleeding patient may complain ofanemia due to blood deficiency, dizziness, tired, andeasy-going infection.

Obese:Obese=hypercholesterolemiacholesterol is a steroidhormone-forming materialLDL cholesterol is a carriermolecule in the theca cells to be used as raw material for

the androgenincreased levels of estrogen &LHRestraints on FSH secretion causes disruption offollicular proliferationirregular menstrualcycledisfunctional bleeding. (Kakisina, 2008), (Wasita,

2007).


8/27


9/27

7. What is the relationship between the

mother dying patient complaints with ca

cervix?


10/27

8. Why is the USG and histopathological

examination is required for the patient?


11/27

9. What is the relationship between never

conceived and her illness?


12/27

10. DD?

Menometrorhagia

Disfunctional Uterine Bleeding

Myoma Uteri


13/27

MENOMETRORAGIA

Definition:Menometrorhagia is hipermenorhea menstrual bleeding or

menorrhagia is more than the normal / longer than normal

(more than 8 days). (Prawirohardjo, 2005).

Etiology:

1. Organic:

a. Cervical polyps uterine

b. Erosio portionis uteri

c. Ulcers portio

d. Abortion, ectopic pregnancy

e. Ovarian tumors


14/27

2. Functional:

Bleeding from the uterus that has nothing to do with

organic causes, called dysfunctional bleeding.

Dysfunctional Bleeding can occur at any age betweenmenarche and menopause. But this disorder is more

common during the early period and the end of ovarian

function can.

Two-thirds of women of women hospitalized for bleeding

dysfunctional over 40 years old, and 3% under 20 years.

Actually, in practice found also in puberty dysfunctional

bleeding, but because of this condition is usually self-

limiting, rarely needed treatment in the hospital.

Signs and Symptoms:

1. ovulatory bleeding

2. anovulatory bleeding


15/27

Clinical manifestations:

1. Irregular menstrual cycles,

2. Not long menstrual periods (amenorrhea)

3. Also, it will often have spots

4. Painful

5. Tense in the breast

6. Quick emotions

Pathophysiology:Broadly speaking, the above condition can occur in cycles of

ovulation (egg expenditure / ovum from the ovary), without ovulation or

other circumstances, for example in premenopausal women (persistent

follicle). Approximately 90% difunctional uterine bleeding (uterine

bleeding) occurs without ovulation (anovulation) and 10% occurred in theovulation cycle.

In the ovulation cycle.

Uterine bleeding that can occur in conjunction with the mid-menstrual

and menstrual period. This bleeding occurs due to low levels of the

hormone estrogen, while progesterone remains formed.


16/27

In cycles without ovulation (anovulation),

Uterine bleeding that often occurs in the pre-menopause

and reproductive period. This is because ovulation does not

occur, so that the excessive estrogen levels while lowprogesterone. As a result of the uterine lining (endometrium)

experienced excessive thickening (hyperplasia) without being

followed by buffer (rich in blood vessels and glands) are

adequate. Well, this condition causes uterine bleeding due to

uterine wall is fragile. On the other hand, the bleeding did not

occur simultaneously. Surface of the wall of the uterus in a

new section recovered was followed in other surface

bleeding. Be prolonged uterine bleeding.

Manuaba,chandradinata.dkk. 2004. Gawat-daruratObstetri-ginekologi & Obstetri-ginekologi sosial untuk

profesi bidan. Jakarta: EGC.


17/27

BLEEDING

In the uterus and ovaries at the same time can occurmenometrorhargia bleeding disorder called follicles thatoccurs because of the persistence of ovulation andcorpus luteum formation. As a result, there washyperplasia of the endometrium due to excessiveestrogen stimulation and continuously. Dysfunctionalbleeding can be found along with various types ofendometrial atrophic endometrium ie, hyperplastic,proferatif, and secretory. With the kind of non-secretoryendometrium with endometrial secretion is importantbecause the type of premises can thus be distinguishedfrom the avulatoir anovulatoar bleeding. In the ovulatory

dysfunctional bleeding disorders ascribed toneuromuscular factors or hematologic mechanism is notunderstood was some bleeding anovolatoir usuallyconsidered to stem from endocrine disorders.

(Sarwono Prawirohardjo,2003: 225)


18/27

MYOMA UTERI

Definition:


19/27

Physiology of fluxus


20/27

Pathology : oligomenore, amenore,

menoragie


21/27

Hormonal and organ


22/27

Bleeding in TM 1 and 3


23/27

Trauma & infection


24/27

epresen en ome r os s a enomyos s


25/27

epresen en ome r os s, a enomyos s,endometrial Ca (Risk factor & Clinical

manifestations) Endometriosis Risk factor:


1. Scar tissue in the oviduct and ovary: a sense ofdiscomfort in the bottom quadrantinfertility.

2. Rectal wallpain during defecation.

3. Serous uterine and bladder: dysuria and dyspareunia.

4. Intrapanggul bleeding and adhesionsperiuterusheavy Dismenorhea


26/27

Adenomyosis

Risk factor:

1. Usia 40 tahun


1. Menorrhagia

2. Disminore


27/27

Endometrial Ca

Risk factor:

1. Age 55-60 years

2. Obesity

3. Diabetes

4. Hypertension

5. Infertility Clinical manifestations:

Lbm 6 Reproduksi

Documents

Transcript of Lbm 6 Reproduksi