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