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  • GIS2 - K2 - Constipation

    Загружено:

    Syarifah Fauziah
    14 просмотров15 страниц
    The document discusses constipation, its causes, classifications, and treatments. It defines constipation as having less than one bowel movement every two days and describes symptoms like hard, dry stools and difficulty during defecation. Constipation can be caused by impaired rectal filling or propulsion and classified as acute or chronic, by severity, organic vs functional origins, and other factors. Chronic idiopathic constipation and Hirschsprung's disease are discussed in more detail regarding their diagnoses and treatments.

    Исходное описание:

    Konstipasi

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    The document discusses constipation, its causes, classifications, and treatments. It defines constipation as having less than one bowel movement every two days and describes symptoms like hard, dry stools and difficulty during defecation. Constipation can be caused by impaired rectal filling or propulsion and classified as acute or chronic, by severity, organic vs functional origins, and other factors. Chronic idiopathic constipation and Hirschsprung's disease are discussed in more detail regarding their diagnoses and treatments.

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    14 просмотров15 страниц

    GIS2 - K2 - Constipation

    Загружено:

    Syarifah Fauziah
    The document discusses constipation, its causes, classifications, and treatments. It defines constipation as having less than one bowel movement every two days and describes symptoms like hard, dry stools and difficulty during defecation. Constipation can be caused by impaired rectal filling or propulsion and classified as acute or chronic, by severity, organic vs functional origins, and other factors. Chronic idiopathic constipation and Hirschsprung's disease are discussed in more detail regarding their diagnoses and treatments.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPT, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 15

    CONSTIPATION

    Atan Baas Sinuhaji


    Department of ChildHealth
    School of Medicine,University Of Sumatera Utara
    Medan
    CONSTIPATION

    FREQ. DEFECATION 

    - HARD, DRY STOOLS


    - DIFFICULT/PAIN
    - INCONTINENCE
    = SOILING
    = ENCOPRESIS
    FREQUENCY OF DEFECATION

    NORMAL = 1 X / DAY
    ABNORMAL < 1 X / 2 DAYS
    SOILING

    WITHOUT CONSTIPATION WITH CONSTIPATION

    MENTAL RETARDATION
    CLASSIFICATION

    1. ACUTE / CHRONIC (  3 MONTHS )


    2. SEVERITY
    3. ORGANIC / FUNCTIONAL
    4. PATHOGENESIS
    5. ANORECTAL DYSFUNCTION (+)/(-)
    RECTAL FILLING

    DEFECATION

    PROPULTION OF RECTAL CONTENTS

    - DISTENTION
    - CONSTRICTION

    - RECTAL PRESSURE

    - URGE TO DEFECATE
    - STRAINIG
    - RELAXING THE ANAL SPHINCTER
    CONSTIPATION

    IMPAIRED RECTAL IMPAIRED RECTAL


    FILLING PROPULTION
    IMPAIRED RECTAL FILLING

    IMPAIRED PERISTALSIS OBSTRUCTION

    DRUGS HORMONAL

    -SPASMOLYTIC MORBUS HIRSCHSPRUNG


    HYPOTHYROIDISM
    -CODEIN
    IMPAIRED RECTAL PROPULTION

    1. PERISTALSIS
    2. OBSTRUCTION
    3. SENSATION
    4. ANAL SPHINCTER ANAL FISSURE
    5. ABNORMALITY OF ABDOMINAL/ PELVIC
    WALL
    6. ABNORMALITY OF AUTONOMIC &
    CORTICAL CONTROL
    CONSEQUENCES

    1. VOMITING
    2. ABDOMINAL PAIN
    3. ABDOMINAL DISTENTION
    4. PAIN TO DEFECATE
    5. BLOODY STOOLS ANAL FISSURE
    6. ANOREXIA
    7. ABDOMINAL MASS RETENTION OF URINE
    8. CHRONIC - PCM
    - MEGACOLON
    MEGACOLON

    CONGENITAL IDIOPATHIC
    = M. HIRSCHSPRUNG = ACQUIRED
    = CHRONIC IDIOPATHIC CONSTIPATION

    STOOLS MEGACOLON

    Ganglion (-)
    Peristalsis External Anal
    Obstruction Sphincter
    BARIUM
    PARADOXAL DIARRHOEA IN LOOP INCONTINENTIA
    ALVI
    MEGACOLON

    IDIOPATHIC= SECUNDER CONGENITAL


    1. ONSET 2-3 YEARS 1ST DAY
    2. SOILING (+) (-)
    3. PARADOXAL (-) (+)
    DIARRHOEA
    4. PCM (-) (+)
    5. ABD. DISTENTION (+) (++)
    6. ANAL SPHINCTER LOOSE TIGHT
    7. RECTAL AMPULLA FULL EMPTY
    8. ENTEROCOLITIS (-) (+)
    9. TREATMENT MEDICAL SURGERY
    M. HIRSCHSPRUNG

    DIAGNOSIS

    IRRIGATION
    OPERATION

    FULMINANT
    ENTEROCOLITIS
    COLOSTOMY

    DEATH DEFINITIVE (6-12 MONTHS)


    CHRONIC IDIOPHATIC
    CONSTIPATION
    1. EVACUATION OF FIRM STOOLS (FECAL DISIMPACTION) :
    • MgSO4
    • IRRIGATION
    • etc
    2. MAINTENANCE
    1. DIETARY MANIPULATION FIBERS >>>
    TAP WATER >>>
    2. TOILET TRAINING
    3. DRUGS : a. SPASMOLYTIC (-)
    b. LAXANTIA :
    • lactulose
    • polyethylene glycol
    c. ANAEROB BACTERIAL:
    • metronidazole

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