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E M A S U K I a w a l p e r g a n t i a n m u s i m k e m a r a u k e m u s i m h u j a n , r i b u a n w a r g a K e c a -m a t a n C i h a m p e l a s K a b u p a t e n B a n -d u n g B a r a t , t e r s e r a n g i n f e k s i s a l u r a n p e r n a p a s a n a k u t ( I S P A ) . D a r iP u s k e s m a s C i h a m p e l a s d i p e r o l e h d a t a , p a d a A g u s t u s 2 0 1 1 j u m l a h p e n d e r i t a I S P A m e n c a p a i 1 . 1 3 6 o r a n g , t e r d i r i a t a s 5 6 8 a n a k - a n a k d a n 5 6 8 d e w a s a .
K o n d i s i s a m a t e r j a d i p u l a d i K o t a B a n d u n g . B e r d a s a r k a n c a t a t a n y a n g m a s u k k e D i n a s K e s e h a t a n K o t a B a n -d u n g -d a r i b e b e r a p a s a r a n a p e l a y a n a n k e s e h a t a n d i K o t a B a n d u n g , s e p e r t i p u s k e s m a s d a n r u m a h s a k i t , w a r g a B a n d u n g y a n g t e r s e r a n g p e n y a k i t I S P A p a d a A g u s t u s 2 0 1 1 t e r c a t a t 8 . 5 4 3 o r a n z ;
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• D a r i d a t a t e r s e b u t d i k e t a h u i , p a d a b u l a n y a n g s a m a t a h u n 2 0 0 9 , w a r g a B a n d u n g y a n g t e r s e r a n g I S P A l e b i h r e n d a h , 6 . 8 5 3 o r a n g . S e m e n t a r a b a l i t a y a n g t e r s e r a n g p n e u m o n i a d i l a p o r k a n 1 . 6 3 8 a n a k , l e b i h r e n d a h d i b a n d i n g k a n d e n g a n t a h u n 2 0 1 0 y a n g m e n c a p a i 1 . 6 5 0 a n a k . S e l a i n I S P A , d i l a p o r k a n j u -g a w a r -g a B a n d u n -g y a n -g t e r s e r a n -g d i a r e ! e r c a t a t 6 . 7 2 8 o r a n g . J u m l a h n y a t i d a k j a u h b e d a d e n g a n 2 0 1 0 , y a i t u 6 . 7 5 0 o r a n g .
" S e k a r a n g a w a l m u s i m h u j a n j a d i m a s i h b e r a d a d a l a m m a s a p a n ~ o b a . M u l a - m u l a p a n a s , t e r u s m u l a i t u r u n h u j a n s e h i n g g a d e b u b e r t e b a r a n d i m a -n a - m a -n a , P a d a m a s a s e p e r t i i n i , b a -n y a k o r a -n g y a -n g t e r k e -n a p e n y a k i t I S P A y a n g b e r m u l a d a r i c o m m o n c o l d ,i n f l u e n z a , b a t u k p i l e k , d a n r a d a n g t e n g -g o r o k a n , " u c a p K e p a l a D e p a r t e m e n 1 1 m u P e n y a k i t D a l a m F a k u l t a s K e d o k t e r -a n ( F K ) U n p -a d / R S H S , d r . H . P r i m a l S u d j a n a , S p . P D - K P T I , M H _ K e s . , d i k a n t o r n y a , b e b e r a p a w a k t u l a l u .
I S P A i n i b i a s a n y a m e n y e r a n g o r a n g t u a , a n a k - a n a k , d a n o r a n g y a n g m e m -p u n y a i d a y a t a h a n t u b u h y a n g r e n d a h . B a g i y a n g m e m i l i k i p e n y a k i t d a s a r , s e p e r t i a s m a , k o n d i s i p a n c a r o b a i n i b i s a m e n j a d i p e n c e t u s t e r j a d i n y a s e r a n g a n a s m a s e h i n g g a h a r u s b e r h a t i -h a t i . P e n y e b a b o r a n g t e r k e n a I S P A p a -d a s a a t i n i b i a s a n y a k a r e n a v i r u s .
" I S P A i n i b i l a d i d i a m k a n d a l a r n j a n g k a w a k t u y a n g l a m a b i s a m e m b a h a y a -k a n -k a r : e n a b e r p o t e n s i u n t u k t e r j a d i n y a p e n y a k i t r a d a n g p a r u a t a u i n f e k s i s a l u r a n n a p a s b a w a h . O r a n g y a n g m e n g -a l -a m i I S P A i n i p -a d -a u m u m n y -a m e r a s a d e m a m d a n n y e r i o t o t , " u j a r n y a .
S e m e n t a r a i t u , m e n u r u t G u r u B e s a r p a d a D e p a r t e m e n I 1 m u K e s e h a t a n A n a k F K U n p a d P r o f . D r . d r . C i s s y R S . P r a w i r a , S p . A ( K ) . , c u a c a y a n g b u r u k
-s a n g a t m e m e n g a r u h i d a y a t a h a n t u b u h a n a k s e h i n g g a b a n y a k y a n g t e r s e r a n g p e n y l l i t i t I S P A . P e n y l l i d t I S P A i p i k m a u c e p a t d i t a n g a n i t i d a k a k a n m e n y e -b a -b k a n h a l y a n g f a t a l , N a m u n , k a l a u a n a k y a n g m e n d e r i t a I S P A t e r l a m b a t d i t a n g a n i , b i s a j a t u h k e r a d a n g p a r u -p a r u ( p n e u m o n i a ) . " K a l a u s a m p a i p n e u m o n i a b e r a t , m e m b a h a y a k a n a n a k , " u e a p n y a , b e b e r a p a w a k t u l a l u .
U n t u k i t u , C i s s y m e n y a r a n k a n , b i l a a n a k m e n g a l a m i b a t u k p i l e k a t a u m e n g a l a m i k e s u l i t a n d a l a m b e r n a p a s , o r a n g t u a d i h a r a p k a n u n t u k m e n g h i -t u n g f r e k u e n s i p e r n a p a s a n n y a . J i k a d i -r a s a k a n f r e k u e n s i p e r n a p a s a n n y a t e r -m a s u k e e p a t , s e s e g e r a m u n g k i n m e m -b a w a a n a k k e r u m a h s a k i t a t a u t e m p a t p e l a y a n a n k e s e h a t a n t e r d e k a t u n t u k m e n d a p a t k a n p e r t o l o n g a n . T i n d a k a n c e p a t i t u d i p e r l u k a n k a r e n a a n a k d e -n g a -n p -n e u m o -n i a b i l a s e g e r a d i t a n g a n i a k a n e e p a t p u l a s e m b u h n y a .
" S a l a h s a t u u p a y a y a n g d a p a t d i -l a k u k a n u n t u k m e n c e g a h a n a k t e r s e r a n g p e n y a k i t I S P A a d a l a h d e n g a n m e n g h i n d a r i s e b a n y a k m u n g k i n d a r i p a p a r a n k e a d a a n l i n g k u n g a n y a n g k u -r a n g b a i k . S a l u -r a n p e r n a p a s a n i n i b e r h u b u n g a n d e n g a n u d a r a d a n l i n g k u n g a n s e h i n g g a a d a b a i k n y a a n a k t i d a k b e r m a i n d i l u a r k e t i k a e u a c a s e d a n g b u r u k . S e l a i n i t u , m e n j a g a s t a m i n a a n a k d e n g a n " m a k a n m a k a n a n
y a n g e u k u p b a i k g i z i n y a , " t u t u r n y a .
Waspadai Diare
P e n y a k i t l a i n n y a y a n g h a r u s d i w a s -p a d a i -p a d a m a s a -p a n c a r o b a s e p e r t i s e k a r a n g i n i a d a l a h d i a r e . P e n y a k i t d i -a r e b e r h u b u n g -a n e r a t d e n g a n p o l a k o n -s u m -s i m a k a n a n a t a u m i n u m a n . D i a r e s e r i n g d i t a n d a i d e n g a n a d a n y a p e n i n g -k a t a n f r e -k u e n s i -k i t a d a l a r n b u a n g a i r b e s a r . D i a r e y a n g t i d a k d i t a n g a n i d e -n g a -n b a i k b i s a m e -n y e b a b k a -n d e h i d r a s i d a n t i d a k j a r a n g m e n i m b u l k a n k e m a -t i a n a k i b a -t k e k u r a n g a n c a i r a n .
M e n u r u t P r i m a l , d i a r e i t u b i s a m u n t -a b e r -a t -a u d i s e n t r i . D i -a r e k e b -a n y -a k -a n d i s e b a b k a n r o t a v i r u s , t e t a p i a d a j u g a y a n g m e n g a l a m i d i a r e k a r e n a t i f u s d a n p a r a t i f u s . D i a r e i n i d i s e b a b k a n m a k a n a n a t a u m i n u m a n y a n g t e r e e m a r v i r u s . " B i a s a n y a d i a r e b i s a t e r j a d i k a r e -n a k u r a -n g -n y a k e b e r s i h a n m a k a n a n d a n m i n u m a n . O l e h k a r e n a i t u , k i t a h a r u s m e n j a g a a g a r m a k a n a n d a n m i n u m a n t e t a p b e r s i h . C u c i t a n g a n s e b e l u m k i t a m a k a n a t a u m i n u m , " u j a r n y a .
D i a r e p a d a b a y i d a n b a l i t a , m e n u r u t D o k t e r S p e s i a l i s H a t i d a n P e n c e r n a a n A n a k R S H S d r . I n a R o s a l i n a , S p . A ( K ) , M . K e s , M H . K e s , m a s i h m e n j a d i p e n y e -b a -b k e m a t i a n t e r t i n g g i d e n g a n p e n y e -b a -b u t a m a n y a a d a l a h r o t a v i r u s . D i a r e d a p a t m e n y e b a b k a n d e h i d r a s i b e r a t p a d a b a y i d a n a n a k . H a m p i r s e m u a
a n a k d i d u n i a p e r n a h m e n g a l a m i s e t i -d a k n y a s a t u k a l i i n f e k s i r o t a v i r s s a m -p a i u s i a m e r e k a l i m a t a h u n .
" G e j a l a d i a r e a k a n m u n e u l d a h a r i s e t e l a h t e r i n f e k s i b e r u p a d e m a m , m u n t a h , d i a r e , n y e r i p e r u t , h i l a n g n a f -s u m a k a n , d a n k e h i l a n g a n c a i a r a n . D i -a r e d -a n m u n t -a h - m u n t -a h p a d a a n a k b i s a b e r l a n g s u n g s e l a m a t i g a h i n g g a d e l a p a n h a r i . G e j m a h i l a n g n y a n a f s u m a k a n d a n d e h i d r a s i b i s a f a t a l p a d a b a y i d a n a n a k k e e i l . I n f e k s i y a n g p e r t a -m a k a l i b i a s a n y a l e b i h b e r a t , " t u r n y a .
B e b e r a p a u p a y a y a n g d a p a t d i -l a k u k a n u n t u k m e n e e g a h t e r s e r a n g p e n y a k i t I S P A d a n d i a r e , m e n u r u t P r i -m -m , d e n g a n m e n j a g a k e b e r s i h a n i n d i -v i d u d a n j u g a l i n g k u n g a n a t a u m e l a k u -k a n p o l a h i d u p b e r s i h d a n s e h a t ( P H -B S ) . S e l a i n i t u , b i s a j u g a m e n i n g k a t k a n d a y a t a h a n t u b u h d e n g a n m e g o n s u m -s i m a k a n a n y a n g b e r g i z i d a n s e i m b a n g .
