tag:blogger.com,1999:blog-87146804056028886092024-02-20T12:12:25.195-08:00Kesehatan dan PenyembuhanAnonymoushttp://www.blogger.com/profile/12761586995425263556noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8714680405602888609.post-12987408763239887982012-12-05T02:26:00.000-08:002012-12-05T02:38:12.766-08:00PENYAKIT KUSTA ATAU LEPRA<br />
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<b><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 20.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENYAKIT KUSTA ATAU LEPRA</span></b><b><span style="font-family: 'Times New Roman', serif; font-size: 13.5pt;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Epidem</span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ologi</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<i><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara penularan kuman kusta sampai saat ini masih
bersifat misterius, yang diketahui</span></i><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> hanya pintu keluar kuman kusta dari tubuh penderita, yakni selaput
lendir hidung.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penularan penyakit kusta tergantung dari 2 (hal):</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Jumlah dan keganasan Mycobacterium Leprae</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Daya tahan tubuh penderita</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di samping itu faktor yang berperan dalam hal penularan adalah:</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Usia</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak-anak lebih peka di banding dengan orang dewasa perbandingan 3:2</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Jenis kelamin</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Laki-laki lebih banyak di jangkiti oleh penyakit kusta dibanding wanita
(karena kontak lebih banyak pada laki-laki)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Ras</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bangsa-bangsa di Asia dan Afrika lebih banyak dijangkiti oleh penyakit
kusta dibanding dengan Eropa</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Keadaan sosial ekonomi</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umumnya negara-negara endemis kusta adalah negara-negara yang tingkat
sosial ekonominya rendah</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e. Lingkungan</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisik, biologis, sosial yang kurang sehat.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masa tunasnya (inkubasi) penyakit kusta sangat lama. Umumnya berkisar
antara 2 sampai 5 tahun, tetapi bisa mencapai puluhan tahun.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kuman penyebab adalah Mycobacterium
leprae yang ditemukan oleh G.A. HANSEN pada tahun 1874 di Norwegia, yang
sampai bekarang belum juga dapat dibiakkan dalam media artifisial. M.
leprae berbentuk basil dengan ukuran 3-8 Um x 0,5 Um, tahan asam dan
alkohol serta Gram positif (Djuanda A, 2007:74).</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejala kusta</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Dep Kes RI. Dirjen PP&
PL, 2007). Tanda-tanda utama atau Cardinal Sign penyakit kusta</span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, yaitu:</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Lesi (kelainan) kulit yang mati rasa</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan kulit/lesi dapat berbentuk bercak keputih-putihan
(hypopigmentasi) atau kemerah-merahan (erithematous) yang mati rasa
(anaesthesi).</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Penebalan saraf tepi yang disertai dengan
gangguan fungsi saraf. Gangguan fungsi saraf ini merupakan akibat dari
peradangan kronis saraf tepi (neuritis perifer). Gangguan fungsi saraf ini bisa
berupa :</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Gangguan fungsi
sensori : mati rasa</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Gangguan fungsi
motoris : kelemahan otot (parese)
atau kelumpuhan (paralise)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Gangguan fungsi
otonom : kulit kering dan
retak-retak.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Adanya bakteri tahan asam (BTA) didalam kerokan
jaringan kulit (BTA positif)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seseorang dinyatakan sebagai penderita kusta apabila di temukan satu atau
lebih dari tanda-tanda utama diatas. Pada dasarnya sebagian besar penderita
dapat didiagnosis dengan pemeriksaan klinis. Namun demikian pada penderita yang
meragukan dapat dilakukan pemeriksaan kerokan kulit. Apabila hanya ditemukan
cardinal sign kedua perlu dirujuk kepada wasor atau ahli kusta, jika masih ragu
orang tersebut dianggap sebagai penderita yang dicurigai.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. Tanda-tanda
tersangka kusta (suspek)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Tanda-tanda pada kulit</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Bercak/kelainan kulit
yang merah atau putih dibagian tubuh</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Bercak yang tidak gatal
dan Kulit mengkilap</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Adanya bagian tubuh
yang tidak berkeringat atau tidak berambut</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Lepuh tidak nyeri.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Tanda-tanda pada
saraf</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Rasa kesemutan,
tertusuk-tusuk dan nyeri pada anggota badan atau muka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Gangguan gerak anggota
badan atau bagian muka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Adanya cacat
(deformitas) dan luka (ulkus) yang tidak mau sembuh.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat Cacat Kusta</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Djuanda, A, 2007 membagi cacat kusta menjadi 2 tingkat kecacatan,
yaitu:</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Cacat pada tangan dan kaki</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Tingkat 0 : tidak ada gangguan sensibilitas,
tidak ada kerusakan atau deformitas yang terlihat.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. + Tingkat 1 : ada gangguan sensibilitas, tanpa
kerusakan atau deformitas yang terlihat.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Tingkat 2 : terdapat kerusakan atau deformitas.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Cacat pada mata</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Tingkat
0 : tidak ada gangguan pada mata
akibat kusta; tidak ada gangguan penglihatan.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Tingkat 1</span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: ada gangguan pada mata akibat kusta; tidak ada
gangguan yang berat pada penglihatan. Visus 6/60 atau lebih baik (dapat
menghitung jari pada jarak 6 meter).</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Tingkat
2 : gangguan penglihatan berat (visus
kurang dari 6/60; tidak dapat menghitung jari pada jarak 6 meter).</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Jenis-jenis cacat kusta</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Djuanda A, 1997, jenis dari cacat kusta dikelompokkan menjadi dua
kelompok yaitu:</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Cacat primer</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah kelompok cacat yang disebabkan langsung oleh aktivitas penyakit,
terutama kerusakan akibat respon jaringan terhadap mycobacterium leprae</span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang termasuk kedalam cacat primer adalah :</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Cacat pada fungsi saraf</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a) Fungsi saraf sensorik misalnya : anestesi</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b) Fungsi saraf motorik misalnya : daw hand, wist
drop, fot drop, clow tes, lagoptalmus</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c) Fungsi saraf otonom dapat menyebabkan kulit
menjadi kering dan elastisitas kulit berkurang, serta gangguan reflek vasodilatasi.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Inflamasi kuman pada kulit dan jaringan
subkutan menyebabkan kulit berkerut dan berlipat-lipat</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Cacat pada jaringan lain akibat infiltrasi
kuman kusta dapat terjadi pada tendon, ligamen, tulang rawan, testis, dan bola
mata.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Cacat sekunder</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Cacat ini terjadi akibat cacat primer, terutama
adanya kerusakan saraf sensorik, motorik, dan otonom</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Kelumpuhan motorik menyebabkan kontraktur,
sehingga terjadi gangguan berjalan dan mudah terjadinya luka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Lagoptalmus menyebabkan kornea menjadi kering
dan memudahkan terjadinya kreatitis</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Kelumpuhan saraf otonom menjadikan kulit kering
dan berkurangnya elastisitas akibat kulit mudah retak dan terjadi infeksi
skunder.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikut adalah skema yang menggambarkan proses terjadinya kecacatan
akibat kerusakan dari fungsi saraf:</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi Kusta</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1) Tujuan klasifikasi</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Untuk menentukan
rejimen pengobatan, prognosis, dan komplikasi</span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk merencanakan operasional, misalnya
menemukan pasien-pasien yang menular yang mempunyai nilai epidemiologis tinggi
sebagai target utama pengobatan.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk identifikasi pasien yang kemungkinan besar
akan menderita cacat.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2) </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis klasifikasi yang umum</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">A. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi Internasional: Klasifikasi Madrid
(1953)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indeterminate (I)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tuberkuloid (T)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Boderline-Dimorphous (B)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lepromatosa (L)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B. Klasifikasi untuk kepentingan riset: Klasifikasi
Ridley-Jopling (1962)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tuberkoloid (TT)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Borderline tuberculoid (BT)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mid-Borderline (BB)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Borderline Lepromatous (BL)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lepromatosa (LL)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">C. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi untuk kepentingan program kusta:
klasifikasi WHO (1981) dan modifikasi WHO (1988):</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pausibasilar (PB)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hanya kusta tipe I. TT dan sebagian besar BT dengan BTA negatif menurut
kriteria Ridley dan Jopling atau tipe I dan T menurut klasifikasi Madrid.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Multibasilar (MB)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Termasuk kusta tipe LL, BL, BB dan sebagian BT menurut kriteria Ridley
dan Jnpling atau B dan L menurut kriteria Madrid dan semua tipe kusta dengan
BTA positif.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: white; mso-cellspacing: 0in; mso-padding-alt: 0in 0in 0in 0in; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 3.75pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="height: 3.75pt; padding: 0in 0in 0in 0in; width: 12.0pt;" width="16"></td>
</tr>
<tr>
<td style="padding: 0in 0in 0in 0in;"></td>
<td style="padding: 0in 0in 0in 0in;"></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Reaksi
kusta</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reaksi kusta atau reaksi lepra adalah suatu
episode akut dalam perjalanan kronis penyakit kusta yang merupakan reaksi
kekebalan (respon selular) atau reaksi antigen-antibodi dengan akibat merugikan
pasien.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reaksi ini dapat terjadi pada pasien sebelum
mendapat pengobatan, selama pengobatan dan sesudah pengobatan. Namun sering
terjadi pada 6 bulan sampai setahun sesudah mulai pengobatan.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis reaksi kusta di bagi menjadi 2 tipe, yaitu</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Reaksi tipe I</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi pada pasien borderline, disebabkan
meningkatnya kekebalan selular secara cepat. Pada reaksi ini terjadi pergeseran
tipe kusta kearah PB. Faktor pencetusnya tidak diketahui secara pasti tapi
diperkirakan ada hubungan dengan reaksi hipersensivitas tapi lambat.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala klinis tipe I berupa perubahan lesi kulit,
neuritis (nyeri tekan pada saraf), dan/atau gangguan keadaan umum pasie (gejala
konsitusi).</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Reaksi tipe</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reaksi ini terjadi pada pasien tipe MB dan
merupakan reaksi humoral, dimana basil kusta yang utuh maupun tak utuh menjadi
antigen. Tubuh akan membentuk antibodi dan komplemen sebagai respons adanya
antigen. Reaksi kompleks imun terjadi antara antigen, antibodi, dan komplemen.
Kompleks imun ini dapat mengendap antara lain dikulit berbentuk nodul yang
dikenal sebagai Eritema Nodusum Leprosum (ENL), mata (iridosiklitis), sendi
(atritis), dan saraf (neurutis) dengan disertai gejala konsitusi seperti demam
dan malaise, serta komplikasi pada organ tubuh lainnya.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal-hal yang mempermudahterjadinya reaksi kusta
adalah stress fisik (kondisi lemah, menstruasi, hamil, setelah melahirkan,
pembedahan, sesudah mendapat imunisasi, dan malaria) dan stress mental.
Perjalanan reaksi dapat berlangsung sampai 3 minggu. Kadang-kadang timbul
berulang-ulang dan berlangsung lama.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. $3B Penatalaksanaan</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Perawatan luka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prinsip dari perawatan luka adalah imobilisasi dengan mengistirahatkan
kaki yang luka ( misalnya : tongkat, bidai ), merawat luka setiap hari dengan
membersihkannya, membuang jaringan mati, dan menipiskan penebalan kulit yang
selanjutnya di kompres.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Perawatan mata yang tidak tertutup rapat
(lagoptalmus)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Gunakan cermin setiap hari untuk melihat apakah
ada mata merah, bila ada segera laporan ke petugas puskesmas.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Tariklah kulit di sudut mata ke arah luar
dengan jari tangan sebanyak 10 kali setiap latihan, lakukan 3 kali sehari.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Lindungi mata dari sinar matahari, debu dan
angin.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Perawatan tangan yang mati rasa (anestesi)</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Lindungilah tangan yang mati rasa dari panas,
benda kasar dan tajam untuk mencegah luka.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Rendamlah tangan setiap hari dengan air bersih
dalam baskom selama 30 menit untuk menjadikan kulit lembab.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Setelah di rendam gosok kulit menebal dengan
batu apung untuk menjadikan kulit melembut.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Olesi dengan minyak kelapa bersih dalam keadaan
lembab.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Perawatan tangan yang bengkok ( kontraktur )</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Latih jari tangan yang bengkok 3 kali sehari,
supaya jari-jari tangan tidak menjadi kaku.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Rendamlah tangan 3 kali sehari dengan air
bersih selama 30 menit dan olesi tangan yang bengkok dengan minyak kelapa
bersih dalam keadaan basah.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Luruskan jari-jari tangan yang bengkok dengan
tangan yang lain sebanyak 20 kali setiap latihan, lakukan 3 kali sehari.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Taruh tangan di atas paha, dan luruskan
jari-jari tangan sebanyak 20 kali setiap kali <a href="" name="_GoBack"></a>latihan,
lakukan 3 kali sehari.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Pencegah luka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Selalu memakai alas kaki.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Jangan berjalan terlalu lama.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Berhati-hati terhadap api, air panas, dll.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Berhati-hati saat duduk bersila.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. Memeriksa keadaan kaki dan kulit, apakah ada
tanda-tanda kemerahan atau melepuh.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e. Perawatan tangan dan luka</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1. Kurangi tekanan pada tangan yang luka.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. Luka harus selalu bersih, bila luka panas, bau
dan bengkak segera ke puskesmas.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3. Rendamlah setiap hari tangan dengan air bersih
selama 30 menit.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4. Balut luka dengan air bersih.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk kepentingan pengobatan pada tahun 1987 telah
terjadi perubahan. Yang dimaksud dengan kusta PB adalah kusta dengan BTA
negatif pada pemeriksaan kerokan kulit, yaitu tipe-tipe I, TT dan BT menurut
klasifikais Ridely dan Jopling. Bila pada tipes-tipe tersebut disertai BTA
positif, maka akan dimasukkan ke dalam kusta MB. Sedangkan kusta MB adalah
semua penderita kusta tipe BB, BL, dan LL atau apapun klasifikasi klinisnya
dangan BTA positif, harus diobati dengan rejimen MDT-MB. Hal ini tercantum pada
tabel berikut.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5. </span><span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat antikusta yang paling
banyak dipakai pada saat ini adalah DDS(diaminodifenil sulfon) kemudian
klofazimin, dan rifampisin. DDS mulai dipakai sejak 1948 dan di Indonesia
digunakan pada tahun 1952. Klofazimin dipakai sejak 1962 oleh Brown dan Hogerzeil,
dan rifampisin sejak tahun 1970. Pada tahun 1998 WHO menambahkan 3 obat
antibiotik lain untuk pengobatan altematif, yaitu ofloksasin, minosiklin dan
klaritromisin.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sejak tahun 1951 pengobatan
tuberkulosis dengan obat kombinasi ditujukan untuk mencegah kemungkinan
resistensi obat, sedangkan multi drug treatment (MDT) untuk kusta baru dimulai
pada tahun 1971.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<span lang="EN-US" style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; letter-spacing: .1pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada saat ini ada berbagai
macam dan cara MDT dan yang<sup>,</sup> dilaksanakan di Indonesia sesuai
rekomendasi WHO, dengan obat alternatif sejalan dengan kebutuhan dan
kemampuan. Yang paling dirisaukan ialah resistensi terhadap DDS; karena DDS
adalah obat antikusta yang paling banyak dipakai dan paling murah. Obat ini
sesuai dengan para penderita yang ada di negara berkernbang dengan sosial
ekonomi rendah.</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
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Tanggal 15 </span><span style="color: #6fa8dc; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Des</span><span style="color: #d9ead3; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ember</span><span lang="EN-US" style="color: #d9ead3; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 2011. Jam 1</span><span style="color: #d9ead3; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span><span lang="EN-US" style="color: #d9ead3; font-family: "Vijaya","sans-serif"; font-size: 16.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.45</span><span style="font-family: Vijaya, sans-serif; font-size: 16pt; line-height: 115%;"><o:p></o:p></span></div>
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