Jumat, 10 Juli 2009

Natural History Disease

Is: A full course of the disease process without the intervention of naturally occurring, ranging from balance disorders, asymptomatic phase / prepatogenesitas, patogenesitas phase continued until the result of the illness could be cured reply, disability, or death khronik.
Four phases natural history of disease:
1. Phase vulnerable  pathological stage of the process in which factors give cause for keterpaparannya host. In this phase factor has not caused the disease causes, tp sdh began laying the foundation for developing a disease.
2. Phase presimptomatik  yg sdh pathological changes irreversible anticipatory, Disini sdh happened ttp pathological manifestations manifestations of the disease occurred blm
3. Clinical phase has arisen gejala2  disease clinic
4. Terminal phase  nascent possibilities posteriority sebg consequence of the disease. As a result of more accessible form of spontaneous recovery, recover dg treatment, remission (relapse), gain weight, suffer disability or death.

Prevention levels
Tindakan2 on Phase prepatogenesis, is the first level of prevention.
Classified as primary prevention efforts:
a. Efforts to improve health (health promotion):
- Extension of health, nutrition improvement, etc.
- Improvement of housing health eligible
- Opportunity earn healthy entertainment kes yg enable the development of mental and social
- Education of residence, marital advice, sex education, etc.
- Control of environmental factors affecting self kes.
b. Special protection:
- Increased personal hygiene & environmental protection of apparent non-profitable
- Protection against toxic bahan2
- Protection of labor apparent on every possible occurrence of disease due to work
- Protection sumber2 apparent contamination

Classified as secondary prevention efforts, including efforts  anticipatory early diagnosis and immediate treatment, including:
- Finding a case as early as possible
- Conducting general check up on each individual
- Conducting various surveys (surveys of school, household) & eradication of communicable diseases

Classified as tertiary prevention of complications preventing a more severe illness and rehabilitation, including:
- Completion of treatment and follow-up care
- Rehabilitation perfect and healing diseases (rehb.fisik & mental)
- Try reducing the social burden of the patient, preventing the possibility of dissolution SHG continuation of treatment and continued rehabilitation.

Prevention level according Level & Clark, known as the Five levels of prevention, namely:
a. Health promotion (Health Promotion)
b. Special protection (Specifik Protection)
c. Early diagnosis and immediate treatment (Early diagnosis and Prompt Treatment)
d. Restricted defect (Disability Limitation)
e. Rehabilitation (Rehabilitation)

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