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Pemeriksaan Hiv Aids

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    PEMERIKSAANPEMERIKSAAN

    LABORATORIUMLABORATORIUM HIV / AIDSHIV / AIDS

    SAMPURNASAMPURNA

    Bagian Patologi KlinikBagian Patologi Klinik FK.UNISSULAFK.UNISSULA

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    PENDAHULUAN

    HIV (Human Immunodeficiency Virus)

    - retrovirus penyebab penyait AID! (Ac"uired Immunodeficiency !yndrome)

    - td # ba$ian %

    enve&ope $&ioprotein % $p ' $p *+

    capsid iosa,edra& % protein p

    core sepasan$ .NA rantai tun$$a& en/im

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    0A12A.AN 3LINI!

    HIV masu tubu, manusia  ber$abun$ d$ DNA 

    oran$ d$ HIV #-+ t, AID!

    0e4a&a %

    5 6a,ap infesi aut $e4a&a tida ,as d&m 7 m$ I

    *5 6a,ap asimtomati tanpa $e4a&a d&m 7 m$ 8 b&n9t,n

    #5 6a,ap simtomati rin$an  22 ↓ $e4a&a u&it9mu&ut

    '5 6a,ap AID! infesi oportunisti

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    Definisi AID!

     tes HIV (:)  * $e4a&a mayor  $e4a&a minor 

    0e4a&a mayor % - 22 ↓ ; +< d&m  b&n

    - diare ; b&n

    - demam ;  b&n- esadaran ↓ 9 $an$$5 neuro&o$is

    - demensia9 HIV ensefa&opati

    0e4a&a minor % - batu ; b&n

    - dermatiits $enera&isata

    - ,erpes /oster mu&tise$men9beru&an$

    - andidiasis oro farin$ea&

    - &imfadenopati $enera&isata

    - infesi 4amur beru&an$

    - retinitis

    - !aroma aposi

    - pneumonia beru&an$ &aborat (-) AID!

    http://images.google.co.id/imgres?imgurl=http://z.about.com/d/p/440/e/f/1363.jpg&imgrefurl=http://adam.about.com/encyclopedia/1363.htm&h=226&w=306&sz=14&hl=en&start=16&tbnid=SUbHq46933jcKM:&tbnh=86&tbnw=117&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.aids-info.ch/bilder/schule_aids/jpg_bilder/koch18_4.jpg&imgrefurl=http://www.aids-info.ch/e_te/aas-e-kb.htm&h=875&w=591&sz=220&hl=en&start=2&tbnid=jjkFQAA0rQ4lQM:&tbnh=146&tbnw=99&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.dentistry.leeds.ac.uk/oralpath/viruses/viral%2520infections/340%2520images/other%2520viral%2520images/Kaposi%27s%2520sarcoma%2520leg.jpg&imgrefurl=http://www.dentistry.leeds.ac.uk/oralpath/viruses/viral%2520infections/HIV.htm&h=540&w=720&sz=44&hl=en&start=1&tbnid=FumErrQzPtAbpM:&tbnh=105&tbnw=140&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG

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    http://images.google.co.id/imgres?imgurl=http://www.lib.uiowa.edu/hardin/md/pictures22/cdc/6058_072_lores.jpg&imgrefurl=http://www.lib.uiowa.edu/hardin/md/cdc/6058.html&h=464&w=700&sz=52&hl=en&start=7&tbnid=-GwF_lobeNrcUM:&tbnh=93&tbnw=140&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://upload.wikimedia.org/wikipedia/commons/thumb/3/3c/Kaposi%27s_Sarcoma.jpg/800px-Kaposi%27s_Sarcoma.jpg&imgrefurl=http://commons.wikimedia.org/wiki/Image:Kaposi&h=533&w=800&sz=156&hl=en&start=35&tbnid=elq7uLQ6WxEtyM:&tbnh=95&tbnw=143&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26start%3D20%26ndsp%3D20%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DN http://images.google.co.id/imgres?imgurl=http://z.about.com/d/p/440/e/f/1363.jpg&imgrefurl=http://adam.about.com/encyclopedia/1363.htm&h=226&w=306&sz=14&hl=en&start=16&tbnid=SUbHq46933jcKM:&tbnh=86&tbnw=117&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.lib.uiowa.edu/hardin/md/pictures22/cdc/6058_072_lores.jpg&imgrefurl=http://www.lib.uiowa.edu/hardin/md/cdc/6058.html&h=464&w=700&sz=52&hl=en&start=7&tbnid=-GwF_lobeNrcUM:&tbnh=93&tbnw=140&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.pathexo.fr/images/2003n2/2369fig1.jpg&imgrefurl=http://www.pathexo.fr/pages/2003n2/icono-2369.html&h=526&w=340&sz=42&hl=en&start=5&tbnid=cxP-679lhQS0mM:&tbnh=132&tbnw=85&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.aids-info.ch/bilder/schule_aids/jpg_bilder/koch18_4.jpg&imgrefurl=http://www.aids-info.ch/e_te/aas-e-kb.htm&h=875&w=591&sz=220&hl=en&start=2&tbnid=jjkFQAA0rQ4lQM:&tbnh=146&tbnw=99&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.dentistry.leeds.ac.uk/oralpath/viruses/viral%2520infections/340%2520images/other%2520viral%2520images/Kaposi%27s%2520sarcoma%2520leg.jpg&imgrefurl=http://www.dentistry.leeds.ac.uk/oralpath/viruses/viral%2520infections/HIV.htm&h=540&w=720&sz=44&hl=en&start=1&tbnid=FumErrQzPtAbpM:&tbnh=105&tbnw=140&prev=/images%3Fq%3Dsarcoma%2Bkaposi%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.med.yale.edu/intmed/cardio/imaging/cases/pneumonia_rll/graphics/rad1.gif&imgrefurl=http://www.med.yale.edu/intmed/cardio/imaging/cases/pneumonia_rll/index.html&h=386&w=473&sz=143&hl=en&start=3&tbnid=_GXj7a-odG3HTM:&tbnh=105&tbnw=129&prev=/images%3Fq%3Dpneumonia%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG

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    http://images.google.co.id/imgres?imgurl=http://209.126.144.9/assets/images/MTG_new_pics/pneumonia.jpg&imgrefurl=http://www.medtogo.com/249.html&h=267&w=285&sz=62&hl=en&start=18&tbnid=KLuuX65Nov2JVM:&tbnh=108&tbnw=115&prev=/images%3Fq%3Dpneumonia%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.humanillnesses.com/images/hdc_0001_0001_0_img0074.jpg&imgrefurl=http://www.humanillnesses.com/Infectious-Diseases-My-Si/Pneumonia.html&h=181&w=335&sz=21&hl=en&start=7&tbnid=Ia17UxtOd3s1yM:&tbnh=64&tbnw=119&prev=/images%3Fq%3Dpneumonia%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG http://images.google.co.id/imgres?imgurl=http://www.med.yale.edu/intmed/cardio/imaging/cases/pneumonia_rll/graphics/rad1.gif&imgrefurl=http://www.med.yale.edu/intmed/cardio/imaging/cases/pneumonia_rll/index.html&h=386&w=473&sz=143&hl=en&start=3&tbnid=_GXj7a-odG3HTM:&tbnh=105&tbnw=129&prev=/images%3Fq%3Dpneumonia%26svnum%3D10%26hl%3Den%26lr%3Dlang_en%26sa%3DG

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     A&ur pemerisaan infesi HIV

    Didu$a infesi HIV

     Adaa,  9 &ebi, temuan

    &inis

     Adaa, fator risio

    epidemio&o$is

    !imtomati

    6ida beraitan d$ HIV

    Infesi HIV simtomati

    Lauan tes &aboratorium

    D$ onse&in$ pra = pasca tes

    Hasi& pemerisaan &ab (:) ut

    infesi HIV >

    tida

    tida

    ya

    ya

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    PE1E.I3!AAN LA2?.A6?.IU1PE1E.I3!AAN LA2?.A6?.IU1

     PE1E.I3!AAN !E.?L?0I%PE1E.I3!AAN !E.?L?0I%

     DE6E3!I [email protected] AN6I 8 HIVDE6E3!I [email protected] AN6I 8 HIV

    DEN0AN 1E6?DE ELI!A DEN0AN 1E6?DE ELI!A

     6E!6 3?NI.1A!I BI3A D05 ELI!A :6E!6 3?NI.1A!I BI3A D05 ELI!A :

     ANALI!I! CE!6E.N 2L?6 UN6U3 ANALI!I! CE!6E.N 2L?6 UN6U3

    1ENEN6U3AN AN6I [email protected] 6E.HADAP1ENEN6U3AN AN6I [email protected] 6E.HADAP

    2E2E.APA P.?6EIN HIV !EPE.6I2E2E.APA P.?6EIN HIV !EPE.6I

    p*' p# $p5' DAN $p5*+p*' p# $p5' DAN $p5*+

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     PE1E.I3!AAN 0ENE HIV DEN0ANPE1E.I3!AAN 0ENE HIV DEN0AN

    A.A PE1E3A.AN BU1LAH 0ENAA.A PE1E3A.AN BU1LAH 0ENA

    1ELALUI 6E3NI3 0ENE1ELALUI 6E3NI3 0ENE

     A1PLIIA6I?NF 1E6?DE P. A1PLIIA6I?NF 1E6?DE P.

    ( [email protected]!E HAIN .EA6I?N )( [email protected]!E HAIN .EA6I?N )

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     A&ur pemerisaan &aboratorium infesi HIV

    6erdu$a infesi HIV simtomati

     A

     A (-) A (:)

     A*

     A (:) A* (:) A (:) A* (-)

    U&an$i A A*

     A (:) A* (:) A (:) A* (-) A (-) A* (-)

     A#

     A(:) A*(:) A#(:) A(:) A*(:) A#(-) A(:) A*(-) A#(:) A(:) A*(-) A#(-)

    Laporan positif   An$$ap indeterminate

    .isio tin$$i .isio renda,

     An$$ap indeterminate An$$ap ne$atif 

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