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    Hb HT LEDSAHLI CYANMETHEMOGLOBIN MAKRO MIKRO WESTERGEN WIN

    Prinsip Dengan HCL 0, N, Hb !i"ba#

    $en%a!i asa$ #e$a&in

    Hb !i'(si!ir ')e# ')e# (a)i"$

    *erri&iani!a $en%a!i+an$e& #e$'g)'bin ')e#

    (a)i"$ siani!aabs'rbansi!i"("r pa!a ge)'$bang -.0

    n$

    Pr'sen&ase en!apan

    eri&r'si& &er#a!ap %"$)a#!ara# se$")a

    Dara# !i)e&a((an !a)a$

    p'sisi /er&i(a), $a(aeri&r'si a(an $engen!ap

    !an p)as$a &er)e&a( !ia&as

    A$'ni"

    !is+)a&Pria1 0

    Wani&a 0$$3%a$

    Ba#an!an a)a&

    He$'$e&er sa#)i Lar"&an H+) 0, N A4"a!es&

    Spe(&r'*'&'$e&erPipe& sa#)i 50 "LPipe& - $)Lar"&an !rab(in6

    NaHCO7 KCN 0,0-K78e9CN:; 0,5A4"a!es& L

    Tab"ng

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    > Menge&a#"i a!ana pena(i& se+ara !ini !a)a$ pr'gra$ "%i saring (ese#a&an5> Mengi("&i per%a)anan pena(i& 9TBC, !e$a$ re$a&i(:7> Me$ban&" $enega((an !iagn'sa a&a" !iagn'sa ban!ing

    LED$en"r"n pa!a6 P')isi&e$ia /era, 'ba& 9aspi)e&, ('r&i('s&er'i!:, si+()e +e)) ane$ia, CH8,

    !e*>*a(&'r , ASA, E&a$b"&'), $'n'n"+)e'sis in*e(si'saLED$ening(a& pa!a6

    R#e"$a&'i!, IMA, $e&i)!'pa, SLE, g)'$er")'ne*ri&is, &e')in, ('n&

    inJa$asi a("&, in*e(si, ne(r'sis, $a)ignan+, sir'sis, TB, !e$a$ eri&r'b)as&'sis *e&a)is, (e#a$i)an, $e&i)!'pa, /i&>A

    LED &i!a( nai( pa!a6 angina pe+&'ris, ")+"s pep&i+"$

    Eritrosit, trombosit, leukosit, retikulosit

    Hb:

    > Men"r"n, pa!a6 ane$ia, a)ase$ia, )e"(e$ia, CKD, (e#a$i)an, (e)ebi#an +airanin&ra/ena 9#e$'!e)"si:, asa, pri$a("in, ri*a$pi+in, in!'$e&asin,s")*'na$i!e,&e&rasi()in

    5> Mening(a&, pa!a6 !e#i!rasi3#e$'('nsen&rasi, p')isi&e$ia, !aera# !a&aran &inggi,CH8, $e&i)!'pa, gen&a$i+in>

    Eritrosit

    Per"ba#an ben&"( eri&r'si& !an (e$"ng(inan ar&i !iagn's&i(6> Eri&r'si& $a(r'si&i( !an (ebir"an 9p')i(r'$asia:eri&r'p'iesis $ening(a&5> Eri&r'si& $a(r'si&i( '/a)ane$ia $ega)'b)as&i(7> Se) &arge&a))ase$ia, pena(i& #epar.> Se) s*er'si& s*er'si&is #ere!i&er, i$$"n #e$')&i+ ane$ia-> Hip'(r'$ $i(r'si&er, +igar +e)) 9@:ane$ia !esiensi 8e;> Anis'si&'sisp'i(i)'si&'sis, #ip'(r'$ $i(r'si&i(, *rag$en&'si& 9@:, n'r$'b)as 9@:

    a)ase$ia a&a"

    > Ter!apa& p)as$'!i"$ $a)aria

    $a)ariaEri&r'si& $en"r"n, pa!a6 b)ee!ing, ane$ia, )e"(e$ia, #i!rasi, CKDEri&r'si& $ening(a&, pa!a6 p')isi&e$ia /era, !e#i!rasi3#e$'('nsen&rasi

    Leukosit

    "$)a# )e"('si& n'r$a)6 .0000>0003+$$Le"('si& 5070 per LP -0003$$7Le"('si& .0-0 per LP 0>0003$$7Le"('penia %i(a 50 per LP !an )e"('si&'sis %i(a -0 per LPLe"(i$ia)e"('si& $ening(a&Le"('penia, &er"&a$a ne"&r'penia )ebi# berba#aa !rp! )e"('si&'sis 9ne"&')ia: $"!a# &erin*e(si 9i$"n'+'$pr'$ise! s&ase:

    Hi&"ng %enisPrinsipna $eng#i&"ng 00 )e"('si& pa!a #ap"san !ara#, (e$"!ian !ipi)a#pi)a#

    !an !i(e)'$p'((an $en"r"& %enisna 9sa&"anna =:E'3Ba3S&3Seg3Li$* 3M' 5 3 30 3;0 350 3? 9=:

    > Le"('penia6 ane$ia ap)as&i(, /ira) in*e+&i'n, &erapi si&'s&a&i(a, &erapi ra!iasi5> Le"('si&'sis6 in*e(si a("& 9(rn ba(&eri:6 pne"$'nia, $eningi&is, &'nsi)i&is, abses,

    per!ara#an a("&, pena(i& $ie)'pr')i*era&i*, ne(r'sis %aringan6 IMA, gangren,si')'gis 9s&ress +'n!i&i'n6 (er%a si(, par&"s:, ALL, AML

    Per"ba#an ben&"( )e"('si& !an (e$"ng(inan ar&i !iagn's&i(6> gran")asi &'(sisin*e(si bera&, sepsis5> #iperseg$en&asi ne&r') 9- )'bi:ane$ia $ega)'b)as&i(7> a"er r'! !a)a$ se) $"!a)e"(i$ia $ie)'b)as&i( a("& 9AML:, )e"(

    $'n'si&i( a("& 9AML:.> #ip'gran")asi ne&r'), pse"!' pe)ger #"e&$ie)'!isp)as&i( sin!r-> )i$*'si& a&ipi( 9)i$*'si& p)as$a bir":in*e(si /ir"s

    E'sin')ia6 e'sin')n'r$a), pa!a6

    > pena(i& a)ergi6 as$a br'n(ia)e, #a *e/er, e(se$a, "r&i(aria5> in*e(si parasi&6 &ri+#in'sis, an(i)'s&'$iasis, as(ariasis7> Keganasan6 Le"(i$ia $ie)'si&i (r'ni( 9CML:, p')isi&e$ia /era, H'!g(in

    Bas')ia6 bas')n'r$a), pa!a6

    > Le"(e$ia $ie)'si&i( (r'ni(5> P')isi&e$ia /era7> H'!g(in

    M'n'si&'sis6 $'n'si&n'r$a), pa!a6

    > Le"(e$ia $'n'si&i(5> T"ber(")'sis *ase a(&i*7> Ma)ar ia.> Le"(e$ia $ie)'si&i( (r'ni( 9CML:-> P')isi&e$ia /era

    Li$*'si&'sis6 )i$*'si&n'r$a), pa!a6

    > In*e(si /ir"s6 per&"sis, #epa&i&is in*e(si'sa, par'&i&is epi!e$i(a, /ari+e5> Le"(e$ia %enis )i$*'si&7> T"ber+")'sis *ase pene$b"#an

    Trombosit

    n'r$a)1 ?0 per LP&r'$b'si&'penia %i(a ? per LP

    &r'$b'si&'sis %i(a 0 per LPper"ba#an %"$)a# &r'$b'si& !an (e$"ng(inan ar&i !iagn's&i(6

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    > &r'$b'si&'penia6 in*e(si /ir"s, DH8, i!i'pa&i( &r'$b'si&'penia p"rp"ra 9ITP:, ane$ia

    ap)as&i(, DIC, D83DH8, $a)aria, )e"(e$ia a("&5> &r'$b'si&'sis6 pas+a per!ara#an a("&, ane$ia !esiensi 8e, CML, &ra"$a

    Retikulosit

    Re&i(")'si& $en"r"n pa!a6 ane$ia ap)as&i(, ane$ia pernisi'sa, ane$ia !esiensi asa$

    *')a&, ra!iasiRe&i(")'si& $ening(a& pa!a6 ane$ia #e$')i&i(, a)ase$ia $a'r, p's& b)ee!ing a("&,

    eri&r'b)as&'sis *e&a)is>

    Jumlah absolute setiap jenis leukosit = %jenis leuko x jumlah leukosit!mm

    i(a %"$)a# )e"('si& 0>0003+$$, $a(a %"$)a# abs')"&e !isini a!a)a#,

    E'sin') 6 5= F 0>000 1 5003+$$

    S&ab 6 0= F 0>000 1 >0003+$$Seg$en 6 ;0= F 0>000 1 ;>0003+$$Li$*'si& 6 50= F 0>000 1 5>0003+$$

    M'n'si& 6 ?= F 0>000 1 ?003+$$

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    HE"#T$$IETI& R$SES '$#()L#SI

    A> Err'+&e 8> M'n'+&e

    B> Large )$p#'+&e G> T#r'$b'+&e

    C> Seg$en& ne"&r'p#) H> S$a)) )$p#'+&e

    D> E'sin'p#) I> S&ab ne"&r'p#)

    E> Seg$en& ne"&r'p#) > Bas'p#)

    E"sin')6 Gran")es bri+( re!, 5 )'bes n"+)e"s 9ee g)ass:

    Bas')6 Gran")er'"g# b)"e +'/er e n"+)e"s

    Ne&r')6 C&'p)as$b)"is# re! 9ne"&ra):, N"+)e"s 6 5- )'bes

    S&ab seg$en& 6 C&'p)as$ b)"is# re! 9ne"&ra):, N"+)e"s6 s&ab *'r$

    Li$*'si&6 C&'p)as$s( b)"e, Sing)e n"+)e"s, C)ear 'ne in peri n"+)e"s

    M'n'si&6 Bigges& +e)), N"+)e"s6 (i!ne *'r$, C#r'$a&in6 +erebra) *'r$, Irreg")ar s#ape, /a+"')a&e!

    +&'p)as$

    E'sin') bas') ne"&r') s&ab seg$en& )i$*'si& $'n's

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    PEMERIKSAAN HEMOSTASIS PEMERIKSAAN HAPSAN DARAHCARA DKE CARA IY Ca& Wrig#& Ca& Gie$sa

    Prinsip Tujuan: Meni)ai *"ngsi (api)er !an &r'$b'si& A$bi) se&e&es !ara# !i)e&a((an sisi (anan (a+a 'b%e( Ka+a penggeser &ar"# sebe)a# (iri !ara#, geser (e

    (anan s$p !ara# $e)ebar

    !'r'ng (e (iri T"ngg" s$p (ering T")is na$a !an &angga)

    Ba#an !an

    a)a&

    S&'p S&'p Sp#g$'$an'$e&er7> Ker&as saring

    .> Commercial template device,

    Pe

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    $isS"rgi+"&& &$ A"&'$a&e!

    In+isi'n Ma(ing Ins&r"$en&,re&ra+&ab)e b)a!e, s+a)pe) a&a"

    )an+e&-> Kapas a)('#') 0=

    Cara Le&a((an #an!"( pa!a

    p"n!a(> Bersi#(an +"ping &e)inga !gn

    (apas a)('#') 0= Pegang +"ping &e)inga an&ara

    ib" %ari &e)"n%"(> T"s"( pinggir +"ping &e)inga

    !engan )an+e& se!a)a$ 5$$>

    Ke&i(a &i&i( !ara# &er)i#a&,

    #i!"p(an s&'p

    5> Desin*e(si !g a )('#') 0=>

    7> Le&a((ansp#g$'$an'$e&er 5 in+ !i

    a&as si(", &e(anan .0 $$ Hg>.> B"a& insisi - F $$>

    -> Se&iap - !e&i(, sen&"#!ara# g (e)"ar !g &epi (er&as

    saring> Hin!ari ('n&a( !g )"(a>

    Hap"san !ara# &ar"#

    ra( Te&es(an 5 &e&es

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    Ma(anan, 'ba&, pr'!"( $e&ab')i+ !an in*e(si !apa& $enebab(an Pen!eri&a !engan in*e(si sa)"ran (e$i# 9ISK: sering(a)i "rinna berba" &a%a$ $enenga&> Penebab )ain ba" ang abn'r$a) a!a)a# s&")a gas&r'in&es&ina)/esi(a

    seper&i *eses:, !e('$p'sisi +s&ine 9ba" s")*"r:, 'ba& !an !ie& 9$isa), asparag"s:>')"$e "rin !i"("r !engan ge)as "("r> ')"$e "rin n'r$a) ra&ara&a 'rang !e

    Tabe) > Penebab Ni)ai ("rang !ari ,00 $en"n%"((an #i!rasi re)a&i/e, !an ni)ai )ebi# besar !ari ,050 $en"n%"((an !e#i!

    Pening(a&an B "rin ber(ai&an !engan g)i('s"ria !an e sn!r'$e '* inappr'pria&e an&i!i"re&i+ #'r$'ne 9SIADH:> Pen"r"nan B ber(ai&an !engan pengg"naan !i"reinsipi!"s, ins"siensi a!rena), a)!'s&er'n, !an (egaga)an *"ngsi gin%a)> Pa!a pen!eri&a !engan ins"siensi gin%a) in&rinsi+, B "rin $ene&a' pa!a ,00 pa!a )&ra&e g)'$e

    5> pH urinin!i/i!" se#a& biasana a(an $eng#asi)(an "ri pagi per&a$a ang se!i(i& asa$, pH -,0;,0, (arena a(&i&as $e&ab')i+ pH ang )ebi# a)(a)in &er%a!i ses"!a# $

    &i!e:> Ren&ang pH n'r$a) pa!a sa$pe) ;,?> In&erpre&asi ni)ai pH #ar"s !iin&egrasi(an !engan in*'r$asi ()inis pen!eri&a !an #asi) pe$eri(saan )ab'ra&'ri"$ )ain, se

    asa$basa !ara#, *"ngsi gin%a), a!ana ISK, !ie&ar in&a(e, !an "sia spe+i$en>Penen&"an P# "rin berg"na !a)a$ !iagn'sis !an $ana%e$en ISK !an ba&"> rin a)(a)in pa!a pen!eri&a ISK $en"n%"((an a!ana "reasp)i&&ing 'rganis$, a

    ber(ai&an !engan Kris&a)(ris&a) $agnesi"$ a$$'ni"$ p#'sp#a&e !apa& $e$ben&"( ba&" s&ag#'rn> Ba&" asa$ "ra& !i(ai&(an !engan "rin ang asa$>

    7> HematuriaDara# &er!apa& !i !a)a$ "rin !a)a$ ben&"( "&"# 9#e$a&"ria: a&a" sebagai !es&r"(si eri&r'si&, #e$'g)'bin 9#e$'g)'bin"ria:> Pe$eri(saan $i(r's('pi(se!i$

    $en"n%"((an eri&r'si& "&"#, &e&api #e$'g)'bin bebas ang !i#asi)(an !ari (e)ainan(e)ainan #e$')i&i( a&a" )isis &i!a( a(an &er!e&e(si>Denisi #e$a&"ria a!a)a# &iga a&a" )ebi# eri&r'si& per )apang pan!ang besar pa!a !"a a&a" &iga sa$pe) "rin> Pe$eri(saan !ips&i+( !ara# !a)a$ "rin $en!e&

    per'(si!ase eri&r'si&> Mi'g)'bin !an #e$'g)'bin %"ga !apa& $eng(a&a)isa rea(si ini, se#ingga #asi) &es ang p'si&i* !apa& $en"n%"((an #e$a&"ria, $i'g)'bi"ria, a&a" #e$

    is"a)isasi eri&r'si& "&"# pa!a pe$eri(saan $i(r's('pi( se!i$en "rin !apa& $e$be!a(an #e$a&"ria !ari (ea!aan(ea!aan )ain &erseb"&> Pe$eri(saan $i(r's('p$en!e&e(si si)in!er eri&r'si& a&a" eri&r'si& !is$'r(> Mi'g)'bin, pr'&ein ang $engan!"ng #e$e ang !i&e$"(an !i !a)a$ %aringan '&'&, &i!a( #ana $eng#asi)(an !engan reagen& s&rip &es& "n&"( !ara# &e&api %"ga $eng#asi)(an "rin %erni# ang ber

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    He$a&"ria !ibagi $en%a!i 7 ber!asar(an e&i')'gina, g)'$er")ar, rena) 9n'ng)'$er")ar:, !an "r')'gi(> He$a&"ria g)'$er")er ber(ai&an !engan pr'&ein"ria an

    si)in!er>> Ne*r'pa&i $er"pa(an penebab pa)ing bana( #e$a&"ria g)'$er")er> He$a&"ria n'ng)'$er")er $er"pa(an se("n!er &er#a!ap (e)ainan(e)ainan &"bren'/as(")er, a&a" $e&ab')i(> Seper&i>, sering(a)i !i(ai&(an !engan pr'&ein"ria ang ber$a(na> Te&api, &i!a( a!a #"b"ngan !engan eri&r'si& !is$'r( a&a" si)in!er eri&rse)an%"&na pa!a pen!eri&a !engan #e$a&"ria g)'$er")er !an penen&"an *"ngsi gin%a) !an pr'&ein "rin 5. %a$ a&a" rasi' pr'&ein(rea&inin "rin> Penebabpene

    #e$a&"ria an&ara )ain &"$'r, ba&", !an in*e(si> He$a&"ria "r')'gi( !ibe!a(an !ari e&i')'gi )ain &anpa a!ana !is$'r(, !an si)in!er eri&r'si&> EFer+isein!"+e! #e$a&"ria!i%"$pai, $isa) )'ng !is&an+e r"nning> Hasi) "rina)isis ")angan se&e)a# .? sa$pai 5 %a$ nega&i* pa!a pen!eri&a !engan (ea!aan ini>

    Penebab #e$a&"ria

    Penebab g)'$er")ar 8a$i)ia)

    A)p'r& !isease

    Na))pa&e))a sn!r'$e G)'$er")'ne*r'sis pri$er 8'+a) seg$en&a) Hen'+#s+#'n)ein p"rp"ra Ne*r'pa&i igA P's& in*e(si"s

    G)'$er")'ne*ri&is se("n!er He$')&i+"re$i+ sn!r'$e Ss&e$i+ )"p"s ne*ri&is Tr'$b'&i+ T#r'$'+&'peni+ p"rp"ra

    Penebab rena) Ar&eri'/en'"s $a)*'r$a&i'n Hiper"ri('s"ria

    Hiper(a)si"riaHiper&ensi $a)ignan

    Penebab $e&ab')i( Pena(i& gin%a) p')i(is&i( Papi))ar ne+r'sis Si+()e +e)) !isease a&a" &rai&Penebab &"b")'in&ers&i&ia)Penebab /as(")er

    Penebab "r')'gi Benign pr's&a&i+ #perp)asia Kan(er 9gin%a), "re&er, (an!"ng (e$i#,

    pr's&a&e, !an "re&ra: Sis&i&is3 pie)'ne*ri&is Ne*r')i&iasisPenebab )ain NSAID, #eparin Tra"$a

    R$TEI& (L)'$S# 2ILIR)2I& )R$2ILIS#" #SET#T #S#" R$TEI& 2E&3E 2E&EDI3T 4EHLI&( H#RIS$& S3HLESEI&(ER R

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    S)L4$S#LISIL#T J$&ESPRINSIP Pr'&ein !)$

    (ea!aan (')'i!!ipresipi&asi(an !g

    asa$ ase&a& $en+apai &i&i(

    is'e)e(&ri( pe$anasan

    se)an%"&na !ena&"rasi !an

    &er%a!i presipi&asi

    Pr'&ein pa&')'gi(,

    bersi*a& )ar"& pa!as"#" !i!i# "rin,

    (e(er"#an $"!a#&er)i#a& pa!a s"#"

    ;0 !an $en%a!i)b# %e)as p! s"#"

    ren!a#> Ka)a"!i!i!i#(an )agi

    (e(er"#an$eg#i)ang

    G)"('sa bersi*a& sbg re!"(&'r g

    $ere!"(si C"O 9+"pri: ang ber

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    #i&a$ (e$

    pa!per

    )e(+ai

    9@:CATT Ua& re!"(&'r )ainna6 )a(&'sa, asa$

    sa)isi)a&, /i&C, ga)a(&'sa p'si&i* pa)s"Bi)ir"bin "rin a(an$enggangg"

    pe$eri(saan inis#g sa$pe) #rs

    !ib"ang !")" !gCa9OH:5 a&a"$e$a(ai )&ra&e

    !r pe$eri(saanHaris'n 9bi)ir"bin:

    Harga n'r$a)

    in&erpre&asi

    Peri(sa !g +a#aa berpan&") !an )a&ar

    be)a(ang #i&a$Nega&i* 9: 6 &i!a( a!a (e(er"#an 1

    ('n&r')N'r$a) 00 $g35. %a$ a&a" 0 $g3!)

    90,0 g3!):P'si&i* 9@: 6 (e(er"#an ringan, &anpab"&ir5 9@0,00,0-=:1 70 $g3!)

    P'si&i* 5 9@@:6 (e(er"#an $"!a# !i)i#a&&a$pa( b"&ir5 9@0,0-0,5=: 1 00

    $g3!)P'si&i* 7 9@@@:6 (e(er"#an %e)as &a$pa(

    ber(eping5 9@0,050,-=: 1 700 $g3!):P'si& i* . 9@@@@:6 (e(er"#an

    berg"$pa)g"$pa) a&a" $e$a!a&90,0-=: 1 000 $g3!)

    P'si&i* a&a" nega&i* Nega&i* 9:6 &e&ap bir" a&a" se!i(i&

    (e#i%a"an (er"#P'si&i* 9@:6 #i%a" (e("ningan !an

    (er"# 9',-=:P'si&i* 5 9@@:6 ("ning, (er"# 9,-=:

    P'si&i* 7 9@@@:6 %ingga a&a" Pr'&einpr'&ein ini &er"&a$a pr'&ein ser"$ bera& $')e(") ren!a# ang !apa&

    g)'$er")"s !an pr'&einpr'&ein ang !i#asi)(an !i !a)a$ geni&'"rinar &ra+&> Dian&arana a)b"$in $er"pa(an pr'&ein ser"$ "&a$a g !ie$"(an !a)a$ "rin n'r$a)>Pa!a in!i/i!" g se#a&, !in!ing (api)er g)'$er")ar per$eab)e #ana &er#a!ap ba#anba#an !engan bera& $')e(") ("rang !ari 50>000 !a)&'n> Se(a)i !i)&rasi, pr'&ein $'

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    Reagen pa!a sebagian besar "%i !ips&i( sensi&i* &er#a!ap a)b"$in, &e&api &i!a( !apa& $en!e&e(si pr'&einpr'&ein ga$$ag)'b")in !an ben+e %'nes ('nsen&rasi ren!a#> !ips&i( "n&"( pr'&ein !engan %"$)a# g se!i(i&, $e$beri(an #asi) g p'si&i* pa!a ('nsen&rasi -0$g3!), )ebi# ren!a# !aripa!a &res#')! pr'&ein"ria g se+ara ()inis ber$a(na> Pses"ai !g ("rang )ebi# 70 $g pr'&ein3!), 5@ ses"ai !g 00 $g3!), 7@ ses"ai !g 700 $g3!), !an .@ ses"ai !g 000 $g3!)>

    Pr'&ein"ria !apa& !i()asi(asi(an sebagai &ransien& a&a" persis&en 9&abe) 7:> Pa!a &ransien& pr'&ein"ria, s"a&" per"ba#an se$ne&ara pa!a #e$'!ina$i( g)'$er")ar $pr'&ein ang ber)ebi#an> Pr'&ein"ria 'r&'s&a&i( 9p's&"ra): $er"pa(an a(iba& !ari pr')'nge! s&an!ing ang !i('nr$asi !g #asi) "rina)isis g nega&i* se&e)a# ? %a$ berbaring>

    Pr'&ein"ria persis&en !ibagi $en%a!i 7 (a&erg'ri, g)'$er")ar, &"b")ar, !an '/erJ' Pa!a pr'&ein"ria g)'$er")ar &ipe ang pa)ing bana(, a)b"$in $er"pa(an pr'&einPr'&ein"ria &"b")er &er%a!i %i(a se)se) &"b")er ang *"ngsina &ergangg" &i!a( !apa& $e$e&ab')is$e a&a" $ereabs'rbsi pr'&ein ang !i)&rasi se+ara n'r$a)> Pa!a (ea!aan ini p

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    bera& $')e(") ren!a# )ebi# !'$inan !aripa!a a)b"$in !an %arang $e)ebi#i 5 gr3#ari> Pa!a '/erJ'< pr'&en"ria, pr'&ein5 bera& $')e(") bera& $e)ebi#i (e$a$p"an

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    G)"('s"riaG)"('sa n'r$a)na !i)&rasi ')e# g)'$er")"s, &e&api ba#an ini !ireabs'rpsi #a$pir )eng(ap !i &"b")"s pr'(si$a)is> G)"('s"ria &er%a!i %i(a beban g)"('sa ang !i)&r

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    rin n'r$a) &i!a( $engan!"ng bi)ir"bin !a)a$ %"$)a# ang !apa& &er!e&e(si> n+'n%"ga&e! bi)ir"bin &i!a( )ar"& !a)a$ air !an &i!a( !apa& $e)e Ke&'n"ria sebagian besar ber(ai&an !engan !&a( &er('n&r'), &e&ap %"ga !apa& &er%a!i se)a$a (e#a$i)an, !ie& bebas (arb'#i!ra&, !an (e)aparan>

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    Ni&ri& n'r$a)na &i!a( !i&e$"(an !i !a)a$ "rin &e&api p'si&i* %i(a ba(&eri $ere!"(si ni&ra& "rin $en%a!i ni&ri&> Bana( 'rganis$e gra$ nega&i* !an beberapa gra$ p'

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