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lnteksl cliltolmtlk c.

clng bmbrng
Ancylostoma dudenale dan N*ator am$icanus

lnfekll Aslmtonutlk

carler

lnfestesl Gsclng timbang =

Flhrtform : rmnombu8 takl t3lsrJangrtangan, etau

tertsLn
Gaclng dewea hldup dl urur kecll, monghbap darah
Penuhian : l(rll, tangan,oral {tarbhn},

tfrnsmammery
Lrrya menembus kakl ramfl menladl caclng (kilucsa

yrng mengh.rlll(rn tolur


telur : l-3
l-g buhn
buhn

i
I

Morphology
22-Ztt b the ogdmd tfirperafirrs tor

I1.
Ancytostoma

Adulb: They look lik6 an odd i


piece dregd and arc about i
lcrn. Thy arB white or lighti
pinki5h ufien living. q i6 slightf i

hr0r6r

popuhsl duoh tertnfekrl rncybctorfarb


Ancylaatoma duodenale (dunla tua). daer.h lkllm
tadang : Clna, Jepang, Eropa Selrtr, Afrlr t trra
N*tb/r tme,dcaoae (dunh beru) - dietrh trrplk I
*baglan baar Afrllq. Amerlka SsLtan

lhan d.The

mals's

posterior end is oxpsnded


hrm e coprd.tory

buGa.

20%

2.

Eggr: 60140 lrn


sh8pe, sh6il

olorls.

in siz, ornl ln
thin and

is

Codclil b

2-8 6Xs.

i
i

tffi

DIFFEREI{CES BETWEETiI TWO H{X'KWORHS

Afutts ot r'r. anterlcqr*

.
,

Scanning electrofl micrograph of he mouth


capsule al Anaylostoma cludenate, note the

preqngo_ojfour"leeth,'two on each side..


__

'/

.
,
'
I

ET
l:,
Scanning electron ffi-ograph

EGG

Morphologically it is not
possible to differentiate
between A. duadenale
and N. ameicanus.
I nterference contrast.
x400. Enlarged by 5.4.

of tne moufh,

capsule of Necator americanus, another species of


human..hookworm. Note the presence of two
cutting "teeth'.

L]

The Morphological Differences between Two


species of Hookwoms

ANCYLOSTOMA

NECATOR

DUODENALE

AMERrcANUS

t).enh ikli6 $dang : Cim,


Jepang, Ercp. geha, Atrik

Ounie hru
daeEh tFpik, sbagian
Afrika, Amgrik SeLtan

lJkuEn

+16

Bdiu

10-10

<l cm
9-llx035 mmi

Distribusi

tt 6
cures. looks like S

$ngle curye, l@ks


pars ol

Copulatory

BUM

Copulatory

sFiN,o

shape
vi*)

circJe in

(a top

pair wlh *parate


endir,B
1

pairofventral cuting

pial6

oval h 6hapo
(s top vifl)
I pir of which unite tp

. lmiEl

h@kol

Janhn

r0,6 mm:
9-r ix0,4$nm

Buc@l captule

4 gigi

5-9x0,3

$pcdi k.it

dan
tO20

tilenghiep daEh

Telur

{5.000

mtun

20.000rh.d

Final host: man

akin, cavum, dght hea4 lungs

0,03 muheri

6.001,

- t{.000/hf

d6m*

1I

1.

Emhl

SIKLUS HIDUP

ll. Life Cycle


2. lnf. Stage: Larva 3 or filariform larva
3. lnf. Route: by skin
4. Food: blood and tissue fluid
5. Site of inhabitation: small intestine
6. Life span: Ad 1syears, Na 3-Tyears
7. Blood-lung migration: *

pasng cuttitrg plato doBrl

fm

bsr

Tanah (hmb.b, ()2,

tr t

lur mneta!

rin.r trFtahari

d.hm

2il{8 j.m

rt

RHABdTIFORi, ( 3 h.ri)
J
FILARIFORI{ ( 6-Z hari)

Lambuno

,t

lr
I
l

Usus kecil

Esophegus

Kati mnusu

.I

i1

AllEn danhrgotah bening

t
P.ru{.ru (l({piler .' !lv@ll)

Tertelan - Faring

l1

SsluEn Nef.E (brcnchioli-bffihu3)

'q
Adults in intestinal mucosa

GEJALA

Pathogenesis and Clinical Manifestations


t ml milr.ts
., D.mdi3, krom e "rund itsh" d'el
FbB".Th. Lffi.
pemtr.ting the slir @r .lbrtic E tkD, p6f.chhc lh p.pule with
tchlng .nd bming
b. $trlrtid. scr.tching hldr to sord.ry hfeclid,
c. pMnltir (.tlerlic Bsciion), L@rfi.ia ryfilforci @{gh, dhm,
bw f.w, biFd-tingEd tcutm 6 hcmptllBir, che5l+.ir, ilrlLmmtid
BbadoB in lurg3 undrr X{tr. Thls mrilalEiioB go @ abod 2
kek-

lr.
I

i
I

Z Adub h

(C*ing dsm$l

lmn itrt Cim

- fgigadrt p.in s. thll ot. dedfirl ulcoi


- A LryE ffi budcr Est! ln mL6ct{ic hypmhrotrEtic 6ll*b {chaEct t
mlbstdirh).
l*_
Th. ryro&.ir m h3.itudo, edem, pdpttrtior of tha h+{l. ln .eE c@,
dedi my cuk lrm 6rdbc tailuD or ptyrkel Gxhllstion.

Allotriopteoy (oE ix) B dm lo trB hcl of lfa6 cbmrt iron


Amnonts, sd.d&y, aborlbr my takr phcc iB w.
GastsokrHiul hb.dlDg

ltrtrirtiL

A.

S.nglt bd\6rt6i (rhg.n - b.6) te]! ntung : iwlah

B.

fid.I

Piil

onrk di aeig..kium

c.
o.

Ny.ri

.sigstrlrE

F,

Ancmi. (dltbirBi b.!i)

G.
H.

Hipo.lDrrdsob {d!m.lrarl6)
Plclt bmh, "dyipna d'.tlod'

holrcm dirc

smg

GoDggutr

lb$rtrl m*.n.r

LABORJ{TORIUIIA
TINJA

Diagnosi8 pasti; DiL psdu pomerik$.n bdruhng


Hapusan I biakan, motoda konsrr*rrsi

Telurcaclog{khas)
Jumlah tclur + hrat panyrkit cEclng : satr cacing
/gt!m f!3os

A.
t

50 telur

Vitamln (&kompbks)

e Sufat feroaua 3x200 mgrharl

DARAH

- Eosinoflllia, Anomla hipoksm - mlkrosltar


- Hlpoalbuminomla
Polymareso chaln ra.lior, ( PCR! : untok idontlfikasi telur d.ri
- haos
l lawa dari lingk0ngan
DIAGNOSIS BANDING

Dermrtitii
Bronchitis asthma bronchiala, broncho pneumonia
Beri-beri, oastrltis. ulkus peptlcum

TERAHUT'UM
t. Dllt Tlnggi Proteln

B,

TERAPI SPESIFIK

l. AntihBtamin
2. Obat caclng

(anthelmintic)

+ vlt C

oBATCACIT{G(ANTHELHNflCI

r - Tetrachlorrdrylene ) Do6iE tunggal 0,lmg/kg


i (t*r 5 ml) * Ulhktu perut koeong (pagt)
, - Be phenlum hyrlroxynaptrthoate (Ahopar @) +
-

Dosts tunggal 5 gr + Puasa mlnlrel 2lsm


Thiabendazol (Hintezol @)
Doals 25 nrglkg, 2

oBAT cACtr{G (AIttTHELlwt{TtC}


PyrantBl pamo.& ( Combantdn @)

Dosb l0 n6iharl, tungg.l


Xombinasl [Etendazoh + pyrartBl pamoale
(trlvexen @ ) Docis lxl tabletlhari, ielama o

| lalUharl
' - Men6endazole (Volmox

@,:

untuk deuasa dan anak > 2 tahun


+ DoEb 2xl(Xl nrg/harl rolama 3 harl

PEN6E6At{AN
1.

$anttrry dbposal

2.

iftlMdual pobction,

3.

iertlh educatlo,

4.

hyghnlc habft3,

5.

tet the patlentr and carrierc.

hrrl

Tstramboh (ascaridtl

@)

Doeis i,E qg/kg,

tungral

- Prazlquantel * Obat baru


- Albendarolo: 7 nrg/kg dorb

tunggat

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