{"id":122,"date":"2025-07-18T01:29:11","date_gmt":"2025-07-18T01:29:11","guid":{"rendered":"https:\/\/always.my.id\/media\/?p=122"},"modified":"2025-07-18T01:29:11","modified_gmt":"2025-07-18T01:29:11","slug":"analisa-tbc","status":"publish","type":"post","link":"https:\/\/always.my.id\/media\/2025\/07\/18\/analisa-tbc\/","title":{"rendered":"Analisa TBC"},"content":{"rendered":"\n<div class=\"wp-block-merpress-mermaidjs diagram-source-mermaid\"><pre class=\"mermaid\">flowchart TD\n    A[Pasien dengan Keluhan Respirasi] --> B{Gejala Cardinal TBC?&lt;br\/>Batuk >2 minggu, demam subfebris,&lt;br\/>keringat malam, penurunan BB}\n    \n    B -->|Tidak| C[Pertimbangkan Diagnosis Lain]\n    B -->|Ya| D[Evaluasi Faktor Risiko&lt;br\/>Kontak TBC, HIV, DM, malnutrisi]\n    \n    D --> E[Pemeriksaan Fisik Sistematis&lt;br\/>Inspeksi, palpasi, perkusi, auskultasi]\n    \n    E --> F[Foto Toraks PA &amp; Lateral]\n    \n    F --> G{Hasil Foto Toraks}\n    G -->|Normal| H[CT Scan Toraks&lt;br\/>jika klinis sangat curiga]\n    G -->|Abnormal&lt;br\/>infiltrat\/kavitas\/efusi| I[Pengambilan Spesimen Dahak SPS]\n    \n    H --> I\n    \n    I --> J{Dahak Produktif?}\n    J -->|Tidak| K[Induksi Sputum atau&lt;br\/>Bronkoskopi BAL]\n    J -->|Ya| L[Pemeriksaan BTA&lt;br\/>3 spesimen SPS]\n    \n    K --> L\n    \n    L --> M{Hasil BTA}\n    M -->|Positif| N[Diagnosis: TBC Paru BTA Positif&lt;br\/>Mulai Pengobatan OAT]\n    M -->|Negatif| O[GeneXpert MTB\/RIF]\n    \n    O --> P{Hasil GeneXpert}\n    P -->|Positif| Q[Diagnosis: TBC Paru&lt;br\/>Cek Resistensi Rifampisin]\n    P -->|Negatif| R[Kultur Dahak +&lt;br\/>Antibiotik Spektrum Luas 1-2 minggu]\n    \n    Q --> N\n    \n    R --> S{Respons Antibiotik}\n    S -->|Ada Perbaikan| T[Kemungkinan Pneumonia Bakterial&lt;br\/>Lanjutkan Antibiotik]\n    S -->|Tidak Ada Perbaikan| U[Sangat Curiga TBC&lt;br\/>CT Scan HRCT]\n    \n    U --> V[Bronkoskopi dengan BAL\/Biopsi&lt;br\/>BTA, GeneXpert, Kultur, Histopatologi]\n    \n    V --> W{Hasil Bronkoskopi}\n    W -->|Positif| N\n    W -->|Negatif| X[Evaluasi TBC Ekstrapulmoner]\n    \n    X --> Y[Identifikasi Organ Target&lt;br\/>Pleura, tulang, CNS, abdomen]\n    \n    Y --> Z[Pemeriksaan Spesifik Organ&lt;br\/>Pungsi\/Biopsi sesuai lokasi]\n    \n    Z --> AA{Hasil Pemeriksaan&lt;br\/>Ekstrapulmoner}\n    AA -->|Positif| AB[Diagnosis: TBC Ekstrapulmoner&lt;br\/>Mulai Pengobatan OAT]\n    AA -->|Negatif| AC[TST\/IGRA + Evaluasi Ulang]\n    \n    N --> AD[Uji Sensitivitas Obat&lt;br\/>Kultur lengkap]\n    AB --> AD\n    \n    AD --> AE{Hasil Uji Sensitivitas}\n    AE -->|Sensitif| AF[Terapi DOTS Standar&lt;br\/>2HRZE\/4HR]\n    AE -->|Resisten| AG[Terapi sesuai Pola Resistensi&lt;br\/>MDR-TB\/XDR-TB]\n    \n    AF --> AH[Tracing Kontak Serumah&lt;br\/>Evaluasi Komorbid]\n    AG --> AH\n    \n    AH --> AI[Follow-up Pengobatan&lt;br\/>Monitoring Efek Samping]\n    \n    AC --> AJ[Observasi Klinis&lt;br\/>Pertimbangkan Terapi Empiris]\n    \n    style A fill:#e1f5fe\n    style N fill:#c8e6c9\n    style AB fill:#c8e6c9\n    style AF fill:#a5d6a7\n    style AG fill:#ffcdd2\n    style C fill:#f3e5f5\n    style T fill:#f3e5f5<\/pre><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-122","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/posts\/122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/comments?post=122"}],"version-history":[{"count":1,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/posts\/122\/revisions"}],"predecessor-version":[{"id":123,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/posts\/122\/revisions\/123"}],"wp:attachment":[{"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/media?parent=122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/categories?post=122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/always.my.id\/media\/wp-json\/wp\/v2\/tags?post=122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}