Upload
fatimahmap
View
264
Download
0
Embed Size (px)
Citation preview
7/22/2019 Referat Gout Arthritis
1/37
EOE A
[FHMOGVIVOH
[fhyonatlbut otou moiod eogoso Ahmbhfsao masfeut paroa omoiog soiog sotu tapf pfhyonat
ortgratas (romohl pomo pfrsfhmaooh). [fhyonat aha sumog manfhoi sfcon zodoh Quhoha Nuhb mfhloh
cuiunohhyo pfhyonat poro roco moh roco pfhyonat . [omo wontu atu, pfhyonat aha maohllop sfeoloa
pfhyonat noiohloh sbsaoi fiatf sfeoloa onaeot nbhsudsa donohoh moh oinbgbi yohl efrifeagoh.
oduh, sfcoioh mfhloh pfrnfdeohloh zodoh, paroa eohyon puio matfdunoh mamfrato bifg
dosyoronot iuos. [aroa dfhyudeohlnoh ! " nosus#nosus ortgratas sf$oro nfsfiurugoh. %
&a hfloro docu sfpfrta 'dfrano franot, tfr$otot , cuto nosus paroa maiopbrnoh pomo
toguh *+-. [omo toguh *++* mapfrnaronoh mora * prao efrudur /! ; %! toguh, *! brohl
maohtorohyo omoiog pfhmfrato paroa. [oro ogia culo dfyonaha eogwo * ma ohtoro * brohl efrfsanb
efsor dfhlamop pfhyonat tfrsfeut. [omo ! toguh tfrongar, ma 'dfrano ohlno nfcomaoh lbut
dfhahlnot dfhcoma sfnator *,/ ".%
&a Ahmbhfsao sfhmara, pfhyonat ortgratas paroa pfrtodo noia matfiata bifg sfbrohl mbntfr
?fiohmo, mr. 5oh &fh :brst toguh *+/!. oot atu dosag matfdunoh *! nosus paroa efrot ma =owo.
[omo toguh *+, mr. =bgh &ordowoh dfhuhcunnoh eogwo ma ?ohmuhloh =owo 6fhlog maohtoro
%.-/ brohl efrusao *! ; %! toguh yohl matfiata, , " dfhmfrato osod urot tahlla (*,0 " prao moh
,! " wohato) ma ohtoro dfrfno sumog sodpoa pomo togop paroa. 'hlno#ohlno aha maprfmansanoh
onoh efrtodeog mfhloh tahllahyo
7/22/2019 Referat Gout Arthritis
2/37
EOE AA
]AHCOVOH [VZ]ONO
O. Ohotbda & @asabibla Zfhma
7odeor *. 6apf#tapf pfrsfhmaoh
fhma dfruponoh suotu fhlsfi yohl dfdeuot ohllbto tueug mopot efrlfron mfhloh eoan,
culo dfruponoh suotu pfhlgueuhl ohtoro ruos tuiohl yohl sotu mfhloh ruos tuiohl ioahhyo,
sfgahllo nfmuo tuiohl tfrsfeut mopot malfronnoh sfsuoa mfhloh cfhas pfrsfhmaoh yohl
mapfrohtoroahyo. fhma dfruponoh tfdpot pfrtfduoh muo otou ifeag tuiohl.
&aiagot mora strunturhyo, tfrmopot talo tapf sfhma yoatu 1
*. fhma 3aerbso (ahortrbmaoi)
>fruponoh sfhma yohl tamon mopot efrlfron. fhma aha tamon dfdaiana tuiohl rowoh, moh
tuiohl yohl sotu mfhloh tuiohl yohl ioahhyo magueuhlnoh bifg corahloh anot
7/22/2019 Referat Gout Arthritis
3/37
tfrmara mora suotu dfderoh ahtfrbsfus otou suotu ialodfht maohtoro tuiohl. 9bhtbg mora sfhma aha
omoiog pfrifnotoh tuiohl taeao moh
7/22/2019 Referat Gout Arthritis
4/37
(dfruponoh ruos pfrtodo mora tuiohl ifgfr) mfhloh tuiohl pfdutor yohl dfhyfeoenoh nfpoio
mopot efrputor. fhma putor culo tfrmopot ma ohtoro tuiohl gosto moh tuiohl pfhludpai.
%) fhma lfsfr
fhma lfsfr dfruponoh gueuhloh muo euog tuiohl yohl dfduhlnahnoh pfrlfsfroh ohtor
tuiohl, dasoihyo sfhma yohl tfrmopot pomo tuiohl efionohl.
!) fhma pfioho
fhma pfioho dfruponoh gueuhloh muo euog tuiohl yohl pfrdunoohhyo efrefhtun
pfioho numo. fhma aha tfrmopot maohtoro tuiohl tfiopon tohloh mfhloh ruos aeu cora, iutut moh sanu.
=fhas pfrsfhmaoh yohl poiahl eohyon omoiog cfhas maortgrbsas. 8cuhl#ucuhl tuiohl yohl
efrloeuhl pomo pfrsfhmaoh aha maiopasa bifg tuiohl rowoh sfhma (ortajuior jortaiolf) moh
mapasognoh bifg rbhllo sfhma (cbaht jovaty) yohl efrasa $oarohsyhbvao. Bifg norfho atu pfrsfhmaoh
aha masfeut culosyhbvaoi cbaht.
7odeor . >o$od#>o$od fhma 7fron
@asabibla Zfhma.
feolaoh efsor sfhma nato omoiog sfhma sahb4aoi. [frdunooh tuiohl yohl efrsfhma
masfiueuhla bifg tuiohl rowoh yohl iuhon moh ia$ah. Nfsfiurugoh mofrog sfhma manfiaiahla sfcfhas
nohtbhl, tfrefhtun mora corahloh efrsfrot yohl masfeut mopot maionunoh nopsui. =orahloh aha
maiopasa dfderoh sahb4aoi yohl dfhlgosainoh $oaroh sahb4aoi uhtun dfdahyona2 sfhma. ?olaoh
iuor nopsui mapfrnuot bifg ialodfh efrsfrot yohl dfifnot pomo tuiohl, dfhogohhyo nuot#nuot ma
tfdpothyo moh dfdeotosa lfronoh yohl rowoh sfhma yohl dfiopasa ucuhl#ucuhl tuiohl
=
7/22/2019 Referat Gout Arthritis
5/37
dfdpuhyoa dfdpuhyoa
7/22/2019 Referat Gout Arthritis
6/37
!. F"amfdabibla
'rtgratas lbut ifeag sfrahl tfrcoma pomo iona#iona maeohmahlnoh pfrfdpuoh, puh$onhyo
pomo mfnomf nf#!. &a Ahmbhfsao, ortgratas lbut tfrcoma pomo usao yohl ifeag dumo, sfnator /"
pomo prao efrusao nurohl mora /% toguh. [omo wohato, nomor osod urot ududhyo rfhmog moh
dfhahlnot sftfiog usao dfhbpousf. [rf4oifhsa ortgratas lbut ma ?ohmuhloh, =owo 6fhlog,
prf4oifhsa pomo nfibdpbn usao *!#%! toguh sfefsor ,"O dfiaputa prao *,0" moh wohato ,!".
&a >ahogoso (/), prbpbrsa nfcomaoh ortgratas lbut sfefsor +," moh pomo fthan tfrtfhtu ma
8cuhl [ohmohl sfnator !" pfhmfrato roto#roto tfiog dfhmfrato lbut -,! toguh otou ifeag sftfiog
nfomooh dfhcoma ifeag porog.%
M. Ftabibla'sod urot dfruponoh zot saso yohl maefhtun bifg tueug pomo soot rflfhfrosa sfi.
?fefropo brohl yohl dfhmfrato lbut dfdefhtun ifeag eohyon osod urot moiod tueughyo moh
tueug tamon f
7/22/2019 Referat Gout Arthritis
7/37
3ontbr#
7/22/2019 Referat Gout Arthritis
8/37
[omo
7/22/2019 Referat Gout Arthritis
9/37
@. [otb`asabibla
[fhahlnotoh nomor osod urot sfrud mopot masfeoenoh bifg pfdefhtunoh efrifeagoh otou
pfhuruhoh fnsrfsa osod urot, otoupuh nfmuohyo. 'sod urot omoiog prbmun ongar dftoebiasdf
purah. f$oro hbrdoi, dftoebiasdf purah dfhcoma osod urot mopot matfrohlnoh sfeoloa efranut1 0,+
7odeor !. >ftoebiasdf [urah
ahtfsas purah dfiaeotnoh muo coiur, yoatu coiur mf hbvb moh coiur pfhlgfdotoh (soivolfpotgwoy).
*. =oiur mf hb4b dfiaeotnoh sahtfsas purah moh nfdumaoh osod urot dfioiua prfnursbr hbhpurah.
uestrot owoihyo omoiog raebso#!#
7/22/2019 Referat Gout Arthritis
10/37
fhzad1 gapbGohtah luohah
7/22/2019 Referat Gout Arthritis
11/37
'mohyo nrastoi dbhbhotraud urot aha onoh dfhyfeoenoh ah
7/22/2019 Referat Gout Arthritis
12/37
7fcoio udud pfhyonat osod urot ohtoro ioah 1 %,!,-,
*. Nfsfdutoh moh hyfra gfeot pomo pfrsfhmaoh tfrutodo pomo cora nona, pfrlfiohloh tohloh,
nona, iutut, moh sanut. 7fcoio aha eaosohyo dbhbortanuior (gohyo dfhyfrohl sotu sfhma ).
. fhma dfdefhlnon
/. uiat efrcoioh
%. 9o$ot.
!. &fdod, dfhllalai, mfhyut cohtuhl ifeag $fpot.
6ogop ; togop pfhyonat osod urot 1 /,%,-
%. Ga"fasfdao Osad"tbdota#
aioa hbrdoi osod urot sfrud pomo iona#iona omoiog !,*I*, dlKmi, moh pomo pfrfdpuoh
omoiog %,I*, dlKmi. aioa#haioa aha dfhahlnot sodpoa +#* dlKmi pomo sfsfbrohl mfhloh lbut.
&oiod togop aha posafh tamon dfhuhcunnoh lfcoio#lfcoio sfioah pfhahlnotoh osod urot sfrud moh
gohyo sfnator " mora posafh gapfrurasfdao osadptbdotan yohl efriohcut dfhcoma sfrohloh lbut
onut.
'. Ztomad Otatas Lbt O#t@omohl sfhma onut yohl tadeui $fpot moh moiod wontu sahlnot. [omo soot eohluh pola
tfroso sonat yohl gfeot moh tamon mopot efrcoioh. ?aosohyo efrsa
7/22/2019 Referat Gout Arthritis
13/37
frohloh onut yohl malodeornoh bifg ymfhgod1 sfdeug efefropo gora sodpoa
efefropo dahllu, eaio tamon mabeota, rfnurfh yohl duitapfi, ahtfr4oi ohtor sfrohloh sahlnot moh
mopot dfhlfhoa efefropo sfhma. [omo sfrohloh onut yohl tamon efrot, nfiugoh#nfiugoh mopot
gaiohl moiod efefropo cod otou efefropo gora. [omo sfrohloh onut efrot mopot sfdeug moiod
efefropo gora sodpoa efefropo dahllu.
(. Ztomad Ahtf#ata#oi
>fruponoh nfiohcutoh stomaud onut madoho tfrcoma pfrabmf ahtfrnratan osadptbdotan.
Doioupuh sf$oro niahan tamon mamopotnoh tohmo#tohmo romohl onut, hoduh pomo osparosa sfhma
matfdunoh nrastoi urot. :oi aha dfhuhcunnoh prbsfs pfromohloh tftop efriohcut woioupuh tohpo
nfiugoh. Nfomooh aha mopot tfrcoma sotu otou efefropo noia pfrtoguh, otou mopot sodpoa * toguh
tohpo sfrohloh onut.
). Ztomad Otatas Lbt Nbha#
tomaud aha ududhyo pomo posafh yohl dfhlbeota marahyo sfhmara (sfi` dfmajotabh)
sfgahllo moiod wontu iodo tamon efrbeot sf$oro tfrotur nf mbntfr. 'rtratas lbut dfhoguh
eaosohyo masfrtoa tb
7/22/2019 Referat Gout Arthritis
14/37
m. efhlnon H hyfra pomo >6[*
f. ma$uraloa tb
7/22/2019 Referat Gout Arthritis
15/37
f. 'hoiasas $oaroh osparosa mora sfhma yohl dfhloioda ah
7/22/2019 Referat Gout Arthritis
16/37
7odeor +. 7odeoroh snifrbtan 7but.
7odeor *. 7but nrbhas
?0
[omo togop efranuthyo pfrueogoh tuiohl yohl poiahl owoi duh$ui.
[frueogoh tuiohl owoihyo duh$ui pomo mofrog sfhma pfrtododftotorsbpgoiohlfoi (>6[). [frueogoh aha owoi ududhyo tfriagot
ma iuor sfhma otou ma mofrog cuGto#ortanuioras. 6fduoh aha ohtoro#
7/22/2019 Referat Gout Arthritis
17/37
,. VZL
7odeor **. 87
!. !]Z/oh
7odeor *. 96#$oh (/&)
m. $-A
?@A
C. Maolhbsas Eohmahl.
%. [sfmblbt
Nrastoi noisaud parb
7/22/2019 Referat Gout Arthritis
19/37
mora pfrueogoh#pfrueogoh moiod tuiohl mfhloh iohcuthyo usao. [fhyonat aha eaoso tfrcoma pomo
udur ! toguh nf otos moh pomo brohl nflfdunoh (befsatos), tftopa easo culo masfeoenoh bifg
nf$fionooh pfrsfhmaoh . [omo usao iohcut todpon muo goi yohl ngos, yoatu roso sonat pomo
pfrsfhmaoh moh tfroso nonu cano malfronnoh. Esftfbortratas maniosa
7/22/2019 Referat Gout Arthritis
20/37
masfeut sfpta$ ortgratas. fpta$ ortgratas mopot masfeoenoh bifg eontfra#eontfra, 4arus#4arus, moh
codur.
[fhyfeoe#pfhyfeoe yohl poiahl udud mora sfpta$ ortgratas omoiog eontfra#eontfra,
tfrdosun Ztopgyibjbjjus ourfus, Hfassfrao lbhbrrgbfof, Zoidbhfiio spp, Dyjbeojtfraud
tuefrjuibsas, sparbjgftf eojtfraud, moh Gofdbpgaius ah`iufhzof. fmohlnoh 4arus#4arus yohl
mopot dfhyfeoenoh sfpta$ ortgratas tfrdosu gfpotatas !, ", moh #, porvbvarus "$%, gfrpfs
varusfs, G&' (!&)Z varus*, G+'-$, omfhbvarus, jbsojaf varusfs, dudps, moh febio . =odur
yohl mopot dfhyfeoenoh sfpta$ ortgratas tfrdosun gastbpiosdo, jbjjamabdyjfs, moh eiostbdyjfs.
7fcoio#lfcoio mora sfpta$ ortgratas tfrdosun mfdod, nfmahlahoh, eflatu culo hyfra,
pfdefhlnonoh, nfdfrogoh, nfnonuoh, moh nfgohlotoh sfhma. fhma#sfhma yohl poiahl udud
maiaeotnoh omoiog sfhma#sfhma efsor, sfpfrta iutut#iutut, pfrlfiohloh#pfrlfiohloh nona, pahllui#
pahllui, moh sanu#sanu tohloh.!
7odeor *%. 7odeoroh &aolhbsas ?ohmahl mora 7but.
N. [fhotoio#sohooh
ftaop stomaud lbut yoatu stomaud onut moh ahtfrnratanoi dfdfriunoh pfhlbeotoh olor
tamon dfhadeuinoh nbdpianosa.
'mo / togopoh moiod tfropa pfhyonat aha1
*. >fhlotosa sfrohloh onut
. >fhlurohla nomor osod urot uhtun dfh$flog pfhadeuhoh nrastoi urot pomo corahloh, tfrutodo
pfrsfhmaoh.
/. 6fropa pfh$flogoh dfhlluhonoh tfropa gapburasfdan.
5;
7/22/2019 Referat Gout Arthritis
21/37
6ucuoh pfhlbeotoh omoiog 1
*. >frfmonoh hyfra moh ahfhlgfhtanoh sfrohloh onut sf$fpot duhlnah
/. >fh$flog dfdeurunhyo sfrohloh moh
%. >fh$flog ffhuruhnoh nomor urot sfrud pomo posafh sadptbdotas-. >fhuruhnoh rfsanb eotu osod urot
0. >fhuruhnoh pfdefhtunoh tbpga.
%. Hbh $fma#odfhtbso
?ola yohl tfiog dfhmfrato lohlluoh osod urot, sfeoanhyo dfdeotosa mara tfrgomop goi#goi yohl easo dfdpfreurun nfomooh. >asoihyo, dfdeotosa donohoh tahlla purah moh dfdaiag
yohl rfhmog purah.%,-
[fhllbibhloh donohoh efrmosornoh nohmuhloh purah 1
*. 7bibhloh '1 >onohoh yohl dfhlohmuhl purah tahlla (*!# dlK* lrod donohoh)
omoiog gota, lahcoi, bton, cohtuhl, poru, ioah#ioah cfrboh, umohl, rfdas, nfrohl, sormah,
gfrrahl, fnstron molahl (oebh, mfhmfhl), rola (topf), oinbgbi sfrto donohoh moiod noifhl.
. 7bibhloh ?1 >onohoh yohl dfhlohmuhl purah sfmohl (!#*! dlK* lrod donohoh)omoiog anoh yohl tamon tfrdosun lbibhloh ', molahl sopa, nfrohl#nfrohloh, no$ohl#
no$ohloh nfrahl, nfdeohl nbi, eoyod, osporolus, euh$as, codur, mouh sahlnbhl, mouh
pfpoyo, nohlnuhl.
/. 7bibhloh 91 >onohoh yohl dfhlohmuhl purah ifeag rahloh (#! dlK* lrod
donohoh) omoiog nfcu, susu, tfiur, soyuroh ioah, euog#euogoh.
%. [fhloturoh maft sfeoanhyo sflfro maionunoh eaio nomor osod urot dfifeaga 0 dlKmi
mfhloh tamon dfhlbhsudsa eogoh donohoh lbibhloh ' moh dfdeotosa mara uhtun
dfhlbhsudsa eogoh donohoh lbibhloh ?. =ulo dfdeotosa mara dfhlbhsudsa ifdon
sfrto masorohnoh uhtun eohyon dahud oar putag.
!. 'poeaio mfhloh pfhloturoh maft dosag tfrmopot lfcoio#lfcoio pfhahllaoh osod urot morog,
sfeoanhyo efrnbhsuitosa mfhloh mbntfr tfrmfnot uhtun pfhohlohoh ifeag iohcut.
5?
7/22/2019 Referat Gout Arthritis
22/37
-. :oi yohl culo pfriu mapfrgotanoh, cohloh efnfrco tfrioiu efrot, $fpot tohllop moh rutah
dfdfransonoh mara nf mbntfr. Norfho sfnoia dfhmfrato, eaosohyo lohlluoh osod urot
onoh tfrus efriohcut.
'. $fma#odfhtbso
7but tamon mopot masfdeugnoh, hoduh mopot mabeota moh manbhtrbi. 7fcoio#lfcoio moiod
% cod eaosohyo onoh gaiohl sftfiog duioa pfhlbeotoh. 7but sf$oro udud mabeota mfhloh beot
ohta ah
7/22/2019 Referat Gout Arthritis
23/37
Astarogot moh tfropa $fpot mfhloh pfdefraoh 'A&, dasoihyo ahmbdftosah dlKgora
otou manib
7/22/2019 Referat Gout Arthritis
24/37
marfsfpnoh uhtun sfrohloh onut ortratas lbut, mfhloh mbsas owoi 0! * dlKgora. &bsas aha
nfdumaoh maturuhnoh sftfiog ! gora efrsodooh mfhloh dfrfmohyo lfcoio sfrohloh onut. ) dfdeotosa
pfhlluhooh ozoprbpozbh uhtun lbut onut soco cano 'A& sumog ma$beo topa tamon
efrgosai. [fhlluhoohhyo manbhtroahmanosanoh pomo posafh mfhloh rawoyot uinus pfptan,
pomolohlluhoh
7/22/2019 Referat Gout Arthritis
25/37
'A& hbhsfifnta
7/22/2019 Referat Gout Arthritis
26/37
o. :apfruranfdao dfruponoh ahmanosa uhtun maolhbsas lbut
e. fduo pbmolro masfeoenoh bifg lbut
$. fduo frbsa poro ortanuifr tuiohl masfeoenoh bifg lbut.
m. 'rtratas pos$o bpfrosa sfioiu masfeoenoh bifg lbut
f. 9bi$ga$ahf dfhuruhnoh osod urot sfrud.
,. [fhotoio#sohooh lbt #bha#
Nbhtrbi cohlno pohcohl gapfrurasfdao dfruponoh
7/22/2019 Referat Gout Arthritis
27/37
&bsas
[omo posafh mfhloh
7/22/2019 Referat Gout Arthritis
28/37
'iibpurahbi dfhahlnotnoh tbnsasatos efefropo beot satbtbnsan yohl madftoebiasdf Gohtah
bnsamosf. &bsas beot satbtbnsas (dasoihyo ozotabprah) gorus maturuhnoh cano maluhonoh efrsodo
mfhloh oiibpurahbi. 'iibpurahbi culo dfhahlnotnoh tbnsasatos sanib
7/22/2019 Referat Gout Arthritis
29/37
Ahmanosa 1 ?fr
7/22/2019 Referat Gout Arthritis
30/37
urot omoiog sfefsor !#0 lrodKgora otou ,#* lrodKnl efrot eomohKgora. udefr prbtfah yohl
masorohnoh omoiog prbtfah hoeota yohl efrosoi mora susu, nfcu moh tfiur.
=.:fhmog ifdo
Jfdon mopot dfhlgodeot fnsnrfsa osod urot dfioiua urah. >onohoh yohl malbrfhl,
efrsohtoh, sfrto dorlorahf moh dfhtflo sfeoanhyo magahmora. Nbhsudsa ifdon sfeoanhyo
sfeohyon *! pfrsfh mora tbtoi noibra.
!. +ahlla joaroh
Nbhsudsa $oaroh yohl tahlla mopot dfdeohtu dfdeuohl osod urot dfioiua urah. Norfho
atu, 'hmo masorohnoh uhtun dfhlgoeasnoh dahud dahadoi sfeohyon ,! iatfr otou * lfios
sfgora. 'ar dahud aha easo efrupo oar putag doson, tfg, otou nbpa. fioah mora dahudoh, $oaroh
easo mapfrbifg dfioiua euog#euogoh sflor yohl dfhlohmuhl eohyon oar. ?uog#euogoh yohl
masorohnoh omoiog sfdohlno, dfibh, eifwog, hohos, efiadeahl dohas, moh codeu oar. fioah
euog#euogoh tfrsfeut, euog#euogoh yohl ioah culo ebifg manbhsudsa norfho euog#euogoh sohlot
sfmanat dfhlohmuhl purah. ?uog#euogoh yohl sfeoanhyo magahmora omoiog oipunot moh muraoh,
norfho nfmuohyo dfdpuhyoa nohmuhloh ifdon yohl tahlla.
-. +ohpo oijbgbi
?frmosornoh pfhfiataoh manftogua eogwo nomor osod urot dfrfno yohl dfhlbhsudsa
oinbgbi ifeag tahlla maeohmahlnoh dfrfno yohl tamon dfhlbhsudsa oinbgbi. :oi aha omoiog
norfho oinbgbi onoh dfhahlnotnoh osod iontot piosdo. 'sod iontot aha onoh dfhlgodeot
pfhlfiuoroh osod urot mora tueug.
$. Nbd"ia#osa
%. -omohl sfhma o#a,ot osod ot 5lbuty ortgratas:
Nbdpianosa gapfrurasfdao yohl poiahl manfhoi omoiog romohl sfhma (lbut). 6fiog macfiosnoh
sfefiudhyo eogwo, safsnapuh gapfrurasfdao dfruponoh
7/22/2019 Referat Gout Arthritis
31/37
gueuhloh sf$oro aidaog ohtoro gapfrurasfdao mfhloh sfrohloh lbut onut dosag efiud cfios.
'tratas lbut onut mopot tfrcoma pomo nfomooh nbhsfhtrosa osod urot sfrud yohl hbrdoi. 'noh
tftopa, eohyon posafh mfhloh gapfrurasfdao tamon dfhmopot sfrohloh otratas lbut.
7fcoio niahas mora 7but efrdo$od#do$od, yoatu, gapfrurasfdao ton efrlfcoio, sfrohloh
onut lbut, lfcoio ohtoro(ahtfr$rata$oi), sfrohloh lbut efruiohl, lbut dfhoguh masfrtoa tb8 tb
7/22/2019 Referat Gout Arthritis
32/37
7odeor *0. 6b
7/22/2019 Referat Gout Arthritis
33/37
(. Mf`bdatos "omo "fsfhmaoh =ohl tfsfohl
). Vbiataosas o#a,ot mf"bsat #astoi ot "omo soioh #fda;
6. Hf";b";ot= o#a,ot mf"bsat #astoi ot moiod ahtfstasaoi lah+oi
H. [blhbsas
[osafh yohl tfiog dfhmfrato ortgratas lbut tamon onoh sfdeug sfpfhughyo. [osafh tfrsfeut
gorus tfrus dfhcolo maft sfpohcohl gamup moh dfhlurohla donohoh yohl dfhlohmuhla purah
sfudur gamuphyo. Aha uhtun dfdostanoh pfhyonathyo tamon nodeug iola.
::
7/22/2019 Referat Gout Arthritis
34/37
EOE AAA
NFZA$[VIOH
'sod urot omoiog gosai ongar mora notoebiasdf (pfdf$ogoh) purah. [urah omoiog soiog sotu
nfibdpbn struntur nadao pfdefhtun &'. 'sod urot manfiuornoh moiod tueug dfioiua fhlotosa 'sod 8rot omoiog dfionunoh pfhlbeotoh
gahllo nomor osod urot nfdeoia hbrdoi. Nomor hbrdoihyo omoiog .% gahllo - uhtun wohato moh
/. gahllo 0 uhtun prao, nbhtrbi donohoh yohl manbhsudsa, moh eohyon dahud oar putag.
nfdumaoh prahsap maft yohl gorus mapotuga bifg pfhmfrato osod urot yoatu dfdeotosa osupoh
purah otou rfhmog purah, osupoh fhfrla sfsuoa mfhloh nfeutugoh, dfhlbhsudsa ifeag eohyon
norebgamrot, dfhlurohla nbhsudsa ifdon, dfhlbhsudsa eohyon $oaroh, tamon dfhlbhsudsa
dahudoh efroinbgbi, moh dfhlbhsudsa $unup 4atodah moh dahfroi.
:=
7/22/2019 Referat Gout Arthritis
35/37
MO@]O- [VZ]ONO
*. >bbrf, Nfatg. J, 'hhf >. @. 'lur. 'hotbda Niahan &osor. :abpbnrotfs. =onorto. .
. $gwortz, pfh$fr, ., 3asgfr, &.7. ?rahjapifs b` Zurlfry falgt fmatabh. >$#7row :aii o&a4asabh b< 6gf >$7row#:aii 9bdpohafs. haldo oh haldo if$trbha$ [ueia$otabh, !
/. codsugamocot, @., &f =bhl Dad. &oiod 1 ?unu 'cor Aidu ?fmog. masa . [fhfreat ?unu
Nfmbntfroh 79. =onorto. !.
%. b, 'ifG . Adolahl b< 7but 1 3ahmahl ohm 8taiaty. 6gf 'rtgratas @fsfo$g ohm 6gfropy cburhois.
'4oaioeif ot1 gttp1KKortgratas#rfsfor$g.$bdKsfrafsKlbut
!. 5'@:', &@., 'rtgratas, 6gf Ertgbpofma$ ohm 'rtgratas urlfry 9fhtfr, ferosno, 8',
*.
-. 6oiebt, =bgh :. fif$tfm 'spf$ts b< '$utf ohm 9grbha$ 7buty 'rtgratas 'h Ahtfrhast_s
Ahtfrprftotabh b< oh Ertgbpofmast_s Gpfrafh$fs watg 7but ohm 7buty 'rtgratas. =burhoi "bhf
=baht Zurl !d, *+! E$t *O%(!)1++%#*
0. [ra$f ', Daisbh J>. [otous$uibsniftoi [otgbibly fdahor. 8ha4frsaty b< 3ibramo
Ertgbpofma$ 'ssb$aotabh.
+. umbyb 'D, ?odeohl , mnn. ?unu 'cor Aidu [fhyonat &oiod. masa %O caiam /. =onorto1
Ahtfrho[ueiasgahl. +. :oi !!+.
*. =bghstbhf '. 7but ; tgf masfosf ohm hbhmrul trfotdfht. :bspatoi [gordo$ast !O *1/+*
/+%.
**. $gifsahlfr , >oholfdfht b< o$utf ohm $grbha$ lbuty ortgratas ; prfsfht stotf b< tgf ort.
&ruls %O-%1/++%*-.
:6
7/22/2019 Referat Gout Arthritis
36/37
EOLAOH AI$V [FH0ONA] MOIO$ COHVO-A '
7/22/2019 Referat Gout Arthritis
37/37
EOLAOH AI$V [FH0ONA] MOIO$ COHVO-A '