Diagnostic Imaging Pathways – Endometriosis (Suspected). Population Covered By The Guidance. This pathway provides guidance on the investigation of adult. edit. Advisors: edit. Papers · Laporan Pendahuluan Dan Askep Endometriosis more. by Stevanno M Lantang. Laporan Pendahuluan Dan Askep Endometriosis . Tumor jinak pada rahim (mioma uteri). Kanker serviks, rahim atau ovarium; Endometriosis,; Adenomyosis,; Prolapsis uterus,; Terjadi.

Author: Gok Vumi
Country: Bulgaria
Language: English (Spanish)
Genre: Travel
Published (Last): 10 August 2010
Pages: 150
PDF File Size: 17.69 Mb
ePub File Size: 10.28 Mb
ISBN: 327-8-12329-241-8
Downloads: 36131
Price: Free* [*Free Regsitration Required]
Uploader: Akirn

Beberapa hari setelahnya mengalir darah segar dari kemaluan aekep dengan volume yang sedang tetapi frekuensinya cukup sering. Rawat Inap dengan konsultasi dokter Penyakit Dalam dan Bedah.

Arga Gumilang WiriadidjajaTanggal Presentasi: Ovarian endometriomas, also called endometriotic ovarian cyst, is one of the three major subtypes of endometriosis 1 and are very common.

The representative pictures of ovarian cysts with different coloration are shown in Figure 1.

askep histerektomi by kiky chiihuiiy on Prezi

Arumugam K, Yip YC. Our study suggests a possibility that the age of an ovarian cyst could be estimated more accurately than the cyst color endometriosiz the content of the cyst fluid, assuming a more or less regular menstrual cycle.

Other physical measurements, such as density and viscosity of the cyst fluid, may also be useful for this purpose. A, Measured viscosity of cyst fluid as a function of shear stress.

Magnetic resonance relaxation time in evaluating the cyst fluid characteristics of endometrioma. Erythrocytes entrapped within the cyst enxometriosis iron that is bound to hemoglobin Hb. Multiplex protein profiling of bronchoalveolar lavage in idiopathic pulmonary fibrosis and hypersensitivity pneumonitis. After the cyst walls were taken out, they were rinsed with sterile saline to remove the residual chocolate-like fluid, and the color of the endometriotic lesion was recorded.

ObjectivePasien tampak sakit sedang, kesadaran compos mentis, GCS The increased reactive oxygen species in the cyst fluid summarized in 36 may facilitate EMT.

Magnification in all left, middle, and right column of figures are as indicated: Busacca M, Vignali M. Evaluation and man age ment of women with endometriosis.


We can argue that, for interventional purposes, it suffices to understand just how endometriomas progresses. It is well-documented that a major component of the nodular lesion frequently is fibromuscular tissue with sparse, fingerlike extension of glandular and stroma tissues, 1 which are responsible for an elevated risk of bowel obstruction, chronic abdominal pain, and infertility.

Pasien tampak sakit sedang, kesadaran compos mentis, GCS Multidimensional scaling was used to see the relationship of cyst color with cyst fluid density and viscosity medium-shear stress.

Portofolio Endometriosis

Ovarian endometriomas contain chocolate-like fluid as the result of accumulation of menstruation-like hemorrhagic blood in the cyst. The laterality, size the diameter of the ovarian cystand presence of adhesion to neighboring organs or peritoneum were carefully evaluated and recorded.

In this regard, the existing revised American Society for Reproductive Medicine rASRM staging system 10 endometruosis not very helpful, since it merely provides a summary measure about the extensiveness of endometriosis, giving no information on the developmental stage of the lesions.

In addition, we performed Masson trichrome and Picro-Sirius red staining on all endometriotic cysts and evaluated the extent of fibrosis in the lesions. Endometriosos addition, older cysts had fluids that had significantly higher density and viscosity. Portofolio Endometriosis Download Report.

In all cases, the endometriomas were removed by stripping the cyst wall from the ovaries. Different lines represent data from different samples. Foundation Endometriosis Phenome and Biobanking Documents. In endometriosis, iron overload has been demonstrated in different components of the peritoneal cavity peritoneal fluid, endometriotic lesions, peritoneum, and macrophages.

Fluid density correlated positively with the concentrations of total bilirubin, ferritin, and free iron. Konsultasi dokter spesialis kandungan. The thick black line represents the mean values, with their standard deviations. Macrophages acquire most of their iron by phagocytosis of senescent erythrocytes. Saat diperiksa, pasien juga mengatakan dirinya lemas. Sesuai dengan definisi endometriosis, yaitu suatu keadaan yang ditandai dengan ditemukannya jaringan endometrium yang fungsional di luar kavum uteri, serta berhubungan dengan gejala haid, bersifat jinak tetapi dapat menyerang organ-organ sekitarnya.


Digestion of Hb through erythrophagocytosis results in liberated iron, which is endomdtriosis released from macrophages or stored in a protein complex either as ferritin or hemosiderin.

In fact, the extent of fibrosis, as measured by the proportion of collagen fibers, was correlated most closely with the iron concentration in the cyst fluid Figure 3C and Dless so with the total bilirubin or soluble ferritin data not shown.

Potential involvement of iron in the pathogenesis of peritoneal endometriosis. Endometriosis ensometriosis penyakit yang dipicu oleh pertumbuhan jaringan ehdometriosis di luar rahim. As with any quest for the genesis of a complex phenomenon, to pinpoint exactly what the initial and pivotal events are that lead to the genesis of endometriomas can be very challenging.

This provides another endomdtriosis of evidence that endometriotic lesions are wounds that undergo repeated injury and repair, resulting ultimately fibrotic lesions that are resistant to hormonal treatment.

Stevanno M Lantang –

Am J Obstet Gynecol. Please review our privacy policy. R Foundation for Statistical Computing; Laparoscopic surgery askpe infertile women with min i mal or mild endometriosis. Improving the classification of endometriotic ovarian cysts. In summary, this study shows that the cyst fluid content contains information on the age of the cyst.

Histology of chocolate cysts. In contrast, in whitish specimens, these spots were very rare. This study shows that older cysts, ostensibly seen as white-colored cysts that presumably had experienced more bleeding episodes than younger ones, have higher iron, soluble ferritin, and total bilirubin concentrations in the cyst fluid than younger ones.

Erythrocytes within the cyst are disposed of when they are senescent or damaged, from which the Hb is released, which, in turn, is metabolized into bilirubin.

Berdasarakan hasil USG, endometriosis pasien ini terdapat di dalam miometrium.