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ASUHAN KEPERAWATAN
PADA OTHER URINARY
TRACT DISORDERS
Oleh Kelompok 4
AJ 1/ B 17
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STRICTURE URETRA
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ANATOMI & ISIO!O"I
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U#e$#%
U#e$#% me#p%k%' $%(') *%') me'*%l#k%' #+'e kel%# ,%
kem+h mel%l+ p#o-e- m+k-+. Se%#% %'%$om+- #e$#% ,+(%)+ m
(%)+%' *%+$ #e$#% po-$e#+o# ,%' #e$#% %'$e#+o#. P%,% p#+%
(e#2')-+ 0)% ,%l%m me'*%l#k%' %+# m%'+.
U#e$#% ,+pe#le')k%p+ ,e')%' -2+')$e# #e$#% +'$e#'% *%') $e#pe#(%$%-%' k%',') kem+h ,%' #e$#% -e#$% -2+')$e# #e$#% ek
$e#le$%k p%,% pe#(%$%-%' #e$#% %'$e#+o# ,%' po-$e#+o#.
P%'0%') #e$#% 3%'+$% k#%') le(+h 56 m -e,%')k%'
,e3%-% k#%') le(+h 56 m. Pe#(e,%%' p%'0%') +'+l%h *%') me
kelh%' h%m(%$%' pe')el%#%' #+'e le(+h -e#+') $e#0%,+ p%,% p#+
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Pe')e#$+%'
S$#+k$# #e$#% %,%l%h pe'*emp+$%' lme' #e$#%
2+(#o-+- %,% ,+',+')'*%. Pe'*emp+$%' lme' +'+ ,+-
k%#e'% ,+',+')'*% me')%l%m+ 2+(#o-+- ,%' p%,% $+')k
le(+h p%#%h $e#0%,+ 2+(#o-+- ko#p- -po')+o-m. 8P#'omo
S$#+k$# #e$#% %,%l%h pe'*emp+$%' %$% pe'
8ko'-$#+k-+: lme' #e$#%. S$#+k$# #e$#% kem
,+-e(%(k%' oleh ko')e'+$%l ,%' ,+,%p%$.
8She'o* 914:
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Etiologi
S$#+k$# #e$#% ,%p%$ ,+-e(%(k%' k%#e'% -%
+'2ek-+ $#%m% p%,% #e$#% ,%' kel%+'%' (%3%%
I'2ek-+ *%') p%l+') -e#+') me'+m(lk%' -$#+k$
#e$#% %,%l%h +'2ek-+ oleh km%' )o'okok- *%$el%h me')+'2ek-+ #e$#% (e(e#%p% $%h
-e(elm'*%.
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Manifestasi Klinis
R+3%*%$ p%p%#%' $e#h%,%p )o'o#e -e(elm'*% #+3%*%$
+'-$#me'$%-+ %$% #+3%*%$ $#%m% p%,% #e$#% (+%-%'*%
,+$emk%';
• Se#+') $e#0%,+ p%,% -+% m,% 89549 $%h':
• R+3%*%$ me')e0%' -el%m% ke'+')• N*e#+ ,%' pem(e')k%k%' -p#%p(+k -e(%)% %k+(%$
,+-$e'-+ (l+
• S$#+k$#% #e$#% ,%p%$ $e#%(% ,+ pe#+'em -e(%)%+ l(%'
ke'+')
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Patofisiologi
P#o-e- pe#%,%')%' %k+(%$ $#%m% %$% +'2ek-+ p%,% #e$#%
Te#(e'$k'*% 0%#+')%' -+k%$#+k p%,% #e$#%
Al+#%' #+'e me'0%,+ $e#h%m(%$ me')mpl ,+#o'))% pe#+#e$#%
H%m(%$%' %l+#%' #+'e h+'))% #e$e'-+ #+'e
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Derajat Penyempitan Uretra
Se-%+ ,e')%' ,e#%0%$ pe'*emp+$%' lme''*% -$#+k$#%
#e$#% ,+(%)+ me'0%,+ $+')k%$%' *%+$;
• R+')%' ; 0+k% okl-+ *%') $e#0%,+ k#%') ,%#+ 1/ ,+%me$
lme' #e$#%.
• Se,%') ; 0+k% $e#,%p%$ okl-+ 1/ -%mp%+ ,e')%' < ,+%m
lme' #e$#%.
• Be#%$ ; 0+k% $e#,%p%$ okl-+ le(+h (e-%# ,%#+ < ,+%me$e
lme' #e$#%.
8/18/2019 Asuhan Keperawatan Pada Other Urinary Tract Disorders
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Peme#+k-%%' Pe''0%')
• U#o2lome$#+
• o$o #e$#o)#%2+
• o$o (+pol%# -+-$o5#e$#o)#%2+
• U#e$#o-kop+
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Penatalaksanaan
J+k% p%-+e' ,%$%') k%#e'% #e$e'-+ #+'e -eep%$'
,+l%kk%' -+-$o$om+ -p#%p(+k '$k me')el%#k%
#+'e
T+',%k%' kh-- *%') ,+l%kk%' $e#h%,%p -$#+k$##e$#% %,%l%h ;
• B-+'%-+ 8,+l%$%-+: ,e')%' (-+ lo)%m
• U#e$#o$om+ +'$e#'%
•
U#e$#o$om+ ek-$e#'%
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WOC
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ASUHAN KEPERAWATAN
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HIPOSPADIA
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ANATOMI & ISIO!O"I
Testis
• Te-$+- me#p%k%'
)l%',l% *%')
-eme' $e#,%p%$
-k#o$m ,%' ,+)
2e'+kl- -pe#m0%'+' $e-$+- $e#
k%>m %(,om+'%l+
pe#+$o'em
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Vesika Seminalis.
• ?e-+k% -em+'%l+- me#p%k%' ,% #%')%' ,+%'$%#% 2'
#+'%#+% ,%' #e$m m%-+')5m%-+') #%')%' (e#(e'$
Peme#+k-%%' %'$e#+o# (e#h(')%' ,e')%' 2',- >e-+k%
Kelenjar (glandula) Prostat• Se(%)+%' (e#-+2%l )l%',l%# ,%' -e(%)+%' l%)+ (e
"l%',l% p#o-$%$e $e#,%p%$ ,+(%3%h o#+>+-+m #e$#% +'
-ekel+') pe#mk%%' #e$#% melek%$ ,+(%3%h >e-+k% #e
#o'))% pelp+- ,+(%3%h -+m2+-+- p(+- po-$e#+o#
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Epididimis
Ep+,+,*m+- %,%l%h -%l#%' h%l- *%') p%'0%')'*% k+#%5k+#%
$e#le$%k ,+ -ep%'0%') %$%- ,%' (el%k%') $e-$e- ,%' $e#,+#+
• K%p$ ep+,+,+m+-
• K%,% ep+,+,*m+-• Ek-$#em+$%- -pe#+o#
• Ek-$#em+$%- +'2e#+o#
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Penis
• Pe'+- $e#le$%k me'))%'$') ,+ ,ep%' -k#o$m. B%)+%' 0
)l%',- pe'+- (%)+%' $e')%h ko#p- pe'+- ,%' (%)+%' p%
pe'+-. Kl+$ pem(')k- %m%$ $+p+- $+,%k (e#h(')%' ,e
pe#mk%%' ,%l%m ,%#+ o#)%' ,%' $+,%k memp'*%+ 0%#+')Kl+$ +'+ (e#h(')%' ,e')%' pel>+- -k#o$m ,%'
D+(el%k%') o#+2+-+m #e$#% ek-$e#'% kl+$ +'+ mem(e'$k
ke+l *%') ,+-e($ 2#e'lm p#ep-+m. Kl+$ *%') me'
pe'+- (e#-%m(') ,e')%' mem(#%'e m+ko-%#e$#% p%,
,%' $+,%k memp'*%+ #%m($.
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Pe')e#$+%'
H+po-p%,+% %,%l%h ko')e'+$%l %'om%l+ *%') m%'
(e#m%#% p%,% -+-+ (%3%h pe'+- %$% pe#+'em 8S#+%,+
H+po-p%,+% me#p%k%' -%$ kel%+'%' o')e'+$%l *%
,+,e$ek-+ ke$+k% %$% -e)e#% -e$el%h (%*+ l%h+# +-$+l%h h
me'0el%-k%' %,%'*% kel%+'%' p%,% m%#% #e$#% p#+%997:
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E$+olo)+
Pe'*e(%( *%') 0el%- (elm ,+ke$%h+. D%p%$ ,+h
,e')%' (e(e#%p% 2%k$o# pe'e$- %'$%#% l%+';
1: "%'))%' ,%' ke$+,%k-e+m(%')%' ho#mo'e
: "e'e$+k%: !+')k')%'
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Kl%-+2+k%-+
Be#,%-%#k%' le$%k m%#% #e$#% -e$el%h ,+l%kk%'
ko#,e B#o3'e 81@: mem(%)+ h+po-p%,+% ,%l%m $+)%
(e-%# *%+$ ;
81: h+po-p%,+ %'$e#+o# $e#,+#+ %$%- $+pe )l%'#%l -(ko#o
pe'+- ,+-$%l
8: h+po-p%,+ me,+- $e#,+#+ %$%-; midshaft ,%' pe'+- p#
8: h+po-p%,+ po-$e#+o# $e#,+#+ %$%-; pe'o-k#o$%l -k#o$
pe#+'e%l
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P%$o2+-+olo)+
Kel%+'%' ko')e'+$%l -%l#%' kem+h
"%'))%' pe'$p%' urethral fold
Te#(e'$k ko#,e
J%#+')%' +k%$ $+,%k el%-$+k
Pe'+- mem(e')kok ke %#%h >e'$#%l -%%$ e#e
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Kompl+k%-+
Kel%+'%' l%+' *%') ,%p%$ me'*e#$%+ h+po-p%,+% %,%l%
• M+k#ope'+- 8pe'+- (e#k#%' le(+h ke+l ,+(%',
-e-+%'*%:
• P%,% k%-- *%') (e#%$ 8$+pe pe#+'e%l: pe'%mp+l%
ek-$e#'% ,%p%$ me#%)k%' -eh+'))% '$k
2e'o$+pe ,+pe#lk%' peme#+k-%%' k#om%$+' -ek-
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HIDRONEROSIS
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ANATOMI & ISIO!O"I
Secara terbagi menja
korteks dan
Korteks ginj
superfisial da
terdapat ber
Nefron mefungsional
Medula ginja
lebih prof
terdapat dukt
kecil yang m
ultrafiltrasi be
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• "+'0%l %,%l%h -ep%-%') o#)%' -%l#%' kem+h *%') $e
#o'))% #e$#ope#+'e%l (%)+%' %$%-. Be'$k'*% me'*e#p
,e')%' -+-+ ek')'*% me')h%,%p ke me,+%l. Cek
,+-e($ -e(%)%+ h+l- #e'%l+- *%') ,+ ,%l%m'*% $e#,%p
pel>+- #e'%l+- ,%' -$#k$# l%+' *%') me#%3%$ )+'0pem(lh ,%#%h -+-$em l+m2%$+k ,%' -+-$em -%#%2.
• Be-%# ,%' (e#%$ )+'0%l -%')%$ (e#>%#+%-+ h%l +'+ $e#)%'$0e'+- kel%m+' m# -e#$% %,% $+,%k'*% )+'0%l p%,% -+-+l%+'.
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Definisi
H+,#o'e2#o-+- %,%l%h ,+l%$%-+ %-ep$+k -el#h %$%
-+-$em pel>+k%l+k- )+'0%l -e(%)%+ %k+(%$ h%m(%$%
%$% +'$e#m+$$e' %l+#%' #+'e. 8She'o* 914:
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Etiologi
1. H+,#o'e2#o-+- '+l%$e#%l
%. I'$#%m#%l 8,+ ,%l%m ,+',+'):
• B%3%%'
Kel%+'%' -%m(')%' pel>+#e$e# 8PUJ: 8,+-k+'e-+% PUJ %$% %k%l%-+% PUJ:
U#o$e#okel
• D+,%p%$ K%#-+'om% #e$e# %$% k%#-+'om% (l+ *%') me')+'2+l$#%-+ l(%') m%#% #e$
S$#+k$#% #e$e# -ek',e# -e(%)%+ %k+(%$ (%$
T(e#klo-+- p%,% #e$e# ,%' (l+
• Ek-$#%m#%l
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Co'$,
. !idronefrosis "ilateral
a. Penye"a" pada anak#anak
• $imosis
• Stenosis meatal
•
Katup uretra posterior• %efluks &esikoureter "ilateral
". Pada de'asa muda
• Striktur uretra
• Pem"ulu dara a""erant "ilteral.
. Penye"a" usia pertengaan alanjut• !ipertrofi Prostat *inak (+P!• Kontraktur leer "uli•
$i"rosis retroperineal idiopa(Penyakit ,rmond)
(Senoy- /0)
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Patofisiologi
-$e'o-+- h(')%' p+elm ,%' #e$e# kel%+'%'mo$+l+$%- h(')%' pel>+o#e$e#
%k$o# ,+ l%# #e$e# ,%'p+elm
komp#e-+ %$% $ek%'%' -e$el%hh+,#o'e2#o-+- $+m(l ,%'
mem(e-%#