Diagnosis dan Penatalaksanaan Hemoroid

Pradiantini, Kadek Helen Yustika; Dinata, I Gede Surya

doi:10.23887/gm.v1i1.31704

Cited by 5 publications

(8 citation statements)

References 2 publications

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“…Hemoroid internal sering dijumpai pada tiga posisi primer, yaitu kiri lateral, kanan belakang, dan kanan depan. 1,2,6,7 Hemoroid internal kemudian diklasifikasikan lebih lanjut berdasarkan tampaknya dan tingkatan prolaps. Pengelompokan hemoroid internal tersebut dikenal secara luas sebagai Goligher's classification.…”

Section: Pendahuluanunclassified

“…6 Berdasarkan cara kerjanya pada tubuh secara garis besar, terdapat 2 macam penatalaksanaan yaitu pengobatan konservatif dan pengobatan invasif. 7,17,20 Pengobatan konservatif adalah jenis pengobatan medis yang menghindari penggunaan metode atau prosedur invasif yang memiliki risiko untuk menurunkan kualitas tubuh. Pengobatan invasif, seperti yang telah diimplikasikan, mengacu pada prosedur medis yang berinteraksi langsung dengan tubuh menggunakan alat-alat medis, baik itu dalam operasi ataupun pemasangan alat dalam tubuh.…”

Section: Penatalaksanaan Hemoroidunclassified

“…Pengobatan jenis ini melibatkan penggunaan alat fisik dengan metode fisik untuk mengobati hemoroid, seperti ligasi pita karet, fotokoagulasi inframerah, dan skleroterapi. 2,7,17,25 Surgical Treatment adalah prosedur pengobatan invasif yang digunakan untuk menangani hemoroid kelas III dan IV secara tuntas. Jenis pengobatan ini biasanya hanya diajukan setelah Medical Treatment dan Instrumental Treatment karena Surgical Treatment memisahkan sebagian atau seluruh hemoroid dari tubuh melalui operasi dan jenis pengobatan ini memiliki risiko paling tinggi.…”

Section: Penatalaksanaan Hemoroidunclassified

“…Surgical Treatment meliputi pedicle hemorrhoidectomy, circular stapled hemorrhoidopexy, dan Doppler Guided Hemorrhoidal Arterial Ligation (DGHAL). 7,17,25 Terlepas dari keragaman pada metode penatalaksanaan, beberapa komplikasi seperti strangulasi, fibrosis, supurasi, pendarahan, ulserasi, trombosis, dan portal pyemia masih memungkinkan untuk terjadi. 23,26 Plebotonik, Obat Venoaktif, dan Flavonoid Plebotonik atau obat venoaktif adalah sekelompok obat medis berbasis heterogen yang terbuat dari ekstrak tanaman (flavonoid) atau senyawa sintetis.…”

Section: Penatalaksanaan Hemoroidunclassified

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Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

et al. 2022

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Hemoroid adalah suatu penyakit tidak menular yang terjadi di daerah anorektal. Hemoroid disebabkan oleh suatu aktivitas yang memicu pelebaran dan inflamasi pembuluh darah vena di plexus haemorrhoidalis yang terdapat di sekitar anus dan rektum. Hemoroid diklasifikasikan dalam 4 tingkatan yaitu hemoroid kelas I, II, III, dan IV. Micronized Purified Flavonoid Fraction (MPFF) adalah suatu obat plebotonik yang kerap digunakan dalam pengobatan konservatif hemoroid kelas I dan II. Tinjauan Pustaka ini bertujuan untuk memahami peran MPFF dalam terapi pengobatan hemoroid kelas I dan II serta mengevaluasi efektivitasnya dalam menangani hemoroid secara menyeluruh. Tinjauan pustaka ini ditulis dengan metode menganalisis dan meninjau secara sistematis hasil kajian dari beberapa penelitian terhadap penggunaan MPFF dalam pengobatan hemoroid. Hasil penelitian yang melibatkan 1.952 pasien hemoroid secara acak menemukan bahwa MPFF efektif dalam meredakan gejala pada 1.489 (76,3%) pasien yang menderita hemoroid. Selain itu, ditemukan juga 68 (3,5%) pasien yang mengikuti pengobatan invasif (pembedahan) untuk menangani hemoroid kelas IV dan sebanyak 395 (20,2%) pasien dengan hemoroid kelas I – III menjalani pengobatan konservatif campuran. Penelitian tersebut menunjukkan bahwa MPFF termasuk pengobatan konservatif yang cukup efektif untuk mengatasi hemoroid kelas I dan II, tetapi kurang berdampak untuk mengatasi tingkatan hemoroid yang lebih tinggi.

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Section: Pendahuluanunclassified

Section: Penatalaksanaan Hemoroidunclassified

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Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

et al. 2022

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“…Hemorrhoids are divided into two parts, namely external hemorrhoids and internal hemorrhoids based on their location from the mucocutaneous line (dentate line). [1] The acute thrombosis and strangulation of hemorrhoids is both painful and debilitating, and a major cause of morbidity. [2] The treatment of hemorrhoids includes reduction of volume of these tissues and fixation of adjacent tissue.…”

Section: Introductionmentioning

confidence: 99%

The Profiles and Clinical Outcome of Stapled Hemorrhoidopexy and Open Hemorrhoidectomy Patients: A Five-Year Study in Dr. Soetomo General Hospital, Indonesia

Kusuma¹,

Septarendra²

2022

International Journal of Scientific Advances

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Background: There are various surgical methods for hemorrhoid. Currently, there is no data regarding the profile and clinical outcome of surgery on internal hemorrhoids, especially between open hemorrhoidectomy and stapled hemorhoidopexy at Dr. Soetomo General Hospital. We aimed to describe the profile and outcome of internal hemorrhoidal patients. Methods: We collected samples from all patients with internal hemorrhoid who visited the emergency department and outpatient from January 2018 – to April 2022. The data are secondary data taken from medical records. We collected patients’ demographic data (e.g., age and sex), disease severity, comorbidities, therapies, length of stay, and complications. Results: We recruited a total of 615 patients, consisted of 47 cases (7.6%) undergoing hospitalization and 568 (92.4%) outpatient treatment. Male patients dominate the distribution by sex, either in inpatient or outpatient settings. The mean age of patients is 46.6 years for outpatients and 44.6 years for inpatients. The majority of internal hemorrhoid grading is grade 2 for outpatient and grade 3 for inpatient. Most of the patients who came with comorbidities had metabolic disorders (48.1%). The stapled hemorrhoidopexy procedure has a fairly low level of pain than open hemorrhoidectomy. In this study, it was found that the average length of stay of patients after stapled hemorhoidopexy was shorter than open hemorrhoidectomy. Conclusion: Internal hemorrhoid patients who underwent the most surgeries at Dr. Soetomo General Hospital Surabaya is a male aged > 50 years with grade 3. Stapled hemorrhoidopexy has fewer pain complications than open hemorrhoidectomy and shorter length of stay.

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Estimating Diabetes in Pregnant Women by FINDRISC

Sahayati,

Rahmuniyati

2024

magnamed

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Background: Gestational diabetes is an increased sensitivity to carbohydrates that affects pregnant women. Pregnancy-related gestational diabetes typically manifests between 24 and 36 weeks of gestation and goes away at delivery. The potential that pregnant women with gestational diabetes may continue to have the disease even after giving delivery is not disproved, nevertheless..Objective: The purpose of this study is to use FINDRISC to describe the risk level of diabetes during pregnancy.Methods: 50 pregnant women who participated in this cross-sectional study served as responders. By responding to a survey, found at https://ee.kobotoolbox.org/x/7NcWHrV1, the research was completed. and then an evaluation of diabetes, called FINDRISC. FINDRISC is frequently used for early diabetes screening to estimate a person's risk of developing diabetes. The data was processed using SPSS 25.0 after the survey's respondents completed it.Results: Out of 50 respondents, it was determined that 29 people fall into the very low risk category, 15 people fall into the low risk category, and 6 people go into the suspected risk category because they had a FINDRISC score of nine or above. Out of the six individuals with a probable risk of developing diabetes, three (50%) had high blood sugar levels, four (67%) had excess BMT and obesity, abdomen circumference >80 cm (100%), physical activity 4 days per week (67%) and had a family history (67%).Conclusion: Out of 50 respondents, 29 were classified as having a very low risk of developing diabetes, 15 as having a low risk, and 6 as having a suspected high risk of developing diabetes, according to the study's findings.

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Diagnosis dan Penatalaksanaan Hemoroid

Cited by 5 publications

References 2 publications

Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

The Profiles and Clinical Outcome of Stapled Hemorrhoidopexy and Open Hemorrhoidectomy Patients: A Five-Year Study in Dr. Soetomo General Hospital, Indonesia

Estimating Diabetes in Pregnant Women by FINDRISC

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