Failure to Threat.docx

8/17/2019 Failure to Threat.docx

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PANDUAN PRAKTIK KLINIS

SMF ILMU KESEHATAN ANAK

RSUD Dr. MOEWARDI

2012 - 2014

FAILURE TO THRIVE (FTT)

1. Pengertian De!ini"i#

Failure to thrive FTT# a$a%a& "'at' (ea$aan )ang $itan$ai $engan (enai(an

*erat *a$an ++# )ang ti$a( "e"'ai $engan "e&ar'"n)a, ti$a( nai( flat

growth# ata' *a&(an t'r'n $i*an$ing(an eng'('ran "e*e%'n)a $i(eta&'i

$ari gra!i( ert'*'&an#.

2. Anane"i" O%e& (arena FTT er'a(an "'at' ge/a%a, a(a er%' $iari a$an)a (ea$aan

*eri('t ini

1. A"'an (a%ri ti$a( en'('i

a. Na!"' a(an ('rang

- Aneia i"a%, $e!i"ien"i Fe#

- Ma"a%a& "i(""ia% i"a% aati"#

- Ke%ainan "i"te "ara! '"at SSP# i"a% &i$r"e!a%'", t'r#

- In!e("i (rni( i"a% in!e("i "a%'ran (ei&, "in$r

i'n$e!i"ien"i $i$aat#

- 3angg'an ga"trinte"tina% i"a% n)eri a(i*at e"&ag'" re!%'("#

*. 3angg'an a$a r"e" a(an

- Ma"a%a& "i(""ia% i"a% aati", rumination#

- ere*ra% a%")5(e%ainan SSP i"a% &iertnia, &itnia#

- Ana%i (rani!a"ia% i"a% atre"ia (ana, *i*ir $an "'*ing

%angitan, irgnt&ia, g%""t"i"#

- Se"a( na!a" i"a% en)a(it /ant'ng *a6aan, en)a(it ar'#

- Ke%ea&an tt en)e%'r'& i"a% iati#

-Fi"t'%a tra(ee"!agea%

- Sin$r geneti( i"a% Sin$r Sit&-Le%i-Oit7#

- Sin$r (ngenita% i"a% !eta% a%&% ")n$re#

- Para%i"i" a%at' %%e

. Unavailability of food

- Te(ni( e*erian a(an )ang ti$a( teat

- 8'%a& a(anan ti$a( '('


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- Ma(anan ti$a( "e"'ai '"ia

- Wit&&%$ing ! !$ i"a% a*'"e, neg%et, "i(""ia%#

- M'nta&

- Ke%ainan SSP i"a% ening(atan te(anan intra(rania%#

- O*"tr'("i "a%'ran erna i"a% "ten"i" i%r'", a%rta"i#

-Re!%'(" ga"tre"!agea%

- O*at-*atan i"a% e*erian "ir' iea( "eara "enga/a#

2. A*"r"i 7at gi7i )ang ti$a( en'('i

a. Ma%a*"r"i

- Atre"ia *i%ier5"ir"i"

- Pen)a(it "e%ia(

- )"ti !i*r"i"

-De!i"ien"i en7i

- Int%eran"i a(anan, i"a%n)a int%eran"i %a(t"a

- De!i"ien"i i'n%gi(, i"a%n)a enterati "en"iti! rtein

- In!%aatr) bowel disease

9. Diare

- 3a"trenteriti" *i%atera%

- In!e("i ara"it

-Star:atin diarrhea

- Heatiti"

- Pen)a(it Hir"&r'ng

- Ma"a%a& "i(""ia%

4. Penge%'aran energi *er%e*i&an

a. Pening(atan eta*%i"e5ening(atan engg'naan (a%ri

- In!e("i (rni(5re('ren i"a%, in!e("i "a%'ran (ei&,

t'*er('%"i"#

- In"'!i"ien"i erna!a"an (rni( i"a%, $i"%a"ia *rn('%ner#

- Pen)a(it /ant'ng *a6aan5en)a(it /ant'ng $i$aat

- Kegana"an

- Aneia (rni(

- T("in i"a%n)a tia

- O*at-*atan i"a%n)a (e%e*i&an %e:tir("in#


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- Pen)a(it en$(rin i"a%n)a &iertiri$i"e, &iera%$"terni"e#

b. 3angg'an engg'naan (a%ri

- Pen)a(it eta*%i( i"a%n)a ainai$at&ie", (e%ainan

eta*%i"e (ar*&i$rat *a6aan#

- A"i$"i" t'*'%ar gin/a%

-Hi ("eia (rni( i"a%n)a en)a(it /ant'ng "ianti(#

9. Peeri("aan !i"i(

1. Peeri("aan antretri inia% $i%a('(an $i $'a eri$e ter'taa

$a%a 9 ta&'n ertaa (e&i$'an# $i$aat(an en'r'nan er"enti% *erat

*a$an ter&a$a ''r )ang e%e6ati %e*i& $ari 2 er"enti% a)r 9r$, ;t&,

10t&, 2;t&, ;0t&, . Diag"i" *an$ing Ma%n'tri"i energi rtein


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>??2. ene% 8A. Fai%'re t T&ri:e A genera% e$iatriianB" er"eti:e. Pe$iatr

Re:. 1==

4. 3a&agan S. Fai%'re t T&ri:e A n"eC'ene" ! 'n$ern'tritin. Pe$iatr

Re:. 200>@ 209 1 00=

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Failure to Threat.docx