Jumat, 05 Oktober 2012

WOC ABSES HATI




                 Penetrasi langsung                                  Infeksi pd pelvis               Peradangan sist. Biliaris                         Infeksi langsung                            Penyebaran bakteri (E.Coli)
                  akibat luka tusuk                                                                                                                                                                                                         secara hematogen
                                                                                 pileplebitis porta              Obstruksi saluran empedu               adanya abses yg berdekatan
Kebocoran     Perdarahan      Inokulasi                                                                                                                                                                                  Masuk kepembuluh darah hepar
Sal. Empedu  intrahepatik    bakteri pada              Bakteri berkembang               Proliferasi bakteri                           Inokulasi bakteri pada                       melalui sirkulasi vena portal
                                            Parenchim hati                 dalam hepar                                                                                    parenchim hati











 
              Kerusakan Kanalikuli                                                                        Distensi kanalikuli pd cabang                                                                        Merangsang pembentukan pus
                                                                                                                             Vena portal dan limpatik
            Masuknya bakteri dgn proses
           Supurasi dan pembentukan pus
                                                                                                                                     ABSES HEPAR


 


                                             Penyebaran infeksi                                                               Merangsang pengeluaran mediator                                 Pembuluh darah terinfeksi
                                            kedaerah sekitarnya                                                             kimia (bradikinin, serotinin, histamin,                                             bakteri
                                                                                                        prostaglandin)
                                              Menginfeksi paru                                                                                                                                                        Terganggunya pusat thermo-
                                                                                            Merangsang ujung saraf bebas                                                  regulator
                                         Terbentuknya abses paru               
                                                                                                       Medula Spinalis                                                          Peningkatan suhu
 Efusi Pleura                                            Kolaps paru
                                                                                                             Talamus                                                                       Demam
                                 Perubahan tekanan dalam paru                               Sesak nafas                                                                                            
                                                                                                                                                         Korteks Cerebri                                                  MK: Peningkatan Suhu tubuh
Mendesak diafragma                 Pengembangan paru tdk maksimal      MK: Gg. Pola nafas                           
                                                                                                                                                          Persepsi Nyeri                                               Merangsang Reticulo Activating System
Mendesak gaster                 Kompensasi tubuh utk memenuhi keb O2  
                                               Dgn meningkatkan frek. Pernafasan                                                        Nyeri                                                                              Sulit Tidur
Perasaanpenuh pd perut                                                                                                                         
Mual, muntah, anoreksia             Gangg. Oksigen jaringan          Kontrakasi otot pernafasan       MK: Gangg. Rasa Nyaman: Nyeri                               MK: Gg. Pola Tidur









 
Asupan nutrisi kurang        Hipoksemia, hipercapnea, sianosis    Penggunaan energi berlebihan









 
 Penurunan BB                            MK: Gangg. Pertukaran gas                      Kelelahan dan kelemahan








 
MK: Gangg. Pemenuhan Nutrisi                                                                    MK: Intoleransi Aktifitas

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