{"title":"26岁的多格拉达怀孕35周,被诊断为尿路感染","authors":"M. Adnan","doi":"10.53366/jimki.v7i2.51","DOIUrl":null,"url":null,"abstract":"Urinary tract infection (UTI) is a disease caused by bacteria that attack theurinary tract. Pregnant women are one of the risk factors for the occurrenceof UTI and are at risk of causing premature birth and low birth weight (LBW).This case report describes multigravida women with G3P1A1Ah1 with agestational age of 35 weeks less 2 days with complaints of tightness,frequent urination at night and lower back pain. The patient has a history ofcesarean section at the birth of the first child and the incidence of UTI beforemarriage. Blood pressure: 102/71 mmHg with pulse 90 times / minute. FH29 cm with EFW ± 2790 grams, right back, head presentation, had enteredthe pelvis with a 4/5 decline, His palpitations were not palpable, fetal heartrate was 135x / minute and irregular rhythm. On laboratory examinationshows the results of hemoglobin (Hb) examination of 12.8 g / dL and leukocytes exceed the normal threshold (5000-15000 / mm3). The patient isthen given calcium lactate, iron fumarate to maintain pregnancy andamoxicillin to treat UTI in patients. Patients are also educated to maintainthe cleanliness of genital organs to prevent further infection and advise ifwant to start family plan program, patient can use Intrauterine Device (IUD)as contraception.","PeriodicalId":14697,"journal":{"name":"JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia","volume":"347 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2020-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"WANITA USIA 26 TAHUN, MULTIGRAVIDA HAMIL 35 MINGGU DENGAN DIAGNOSIS INFEKSI SALURAN KEMIH\",\"authors\":\"M. Adnan\",\"doi\":\"10.53366/jimki.v7i2.51\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Urinary tract infection (UTI) is a disease caused by bacteria that attack theurinary tract. Pregnant women are one of the risk factors for the occurrenceof UTI and are at risk of causing premature birth and low birth weight (LBW).This case report describes multigravida women with G3P1A1Ah1 with agestational age of 35 weeks less 2 days with complaints of tightness,frequent urination at night and lower back pain. The patient has a history ofcesarean section at the birth of the first child and the incidence of UTI beforemarriage. Blood pressure: 102/71 mmHg with pulse 90 times / minute. FH29 cm with EFW ± 2790 grams, right back, head presentation, had enteredthe pelvis with a 4/5 decline, His palpitations were not palpable, fetal heartrate was 135x / minute and irregular rhythm. On laboratory examinationshows the results of hemoglobin (Hb) examination of 12.8 g / dL and leukocytes exceed the normal threshold (5000-15000 / mm3). The patient isthen given calcium lactate, iron fumarate to maintain pregnancy andamoxicillin to treat UTI in patients. Patients are also educated to maintainthe cleanliness of genital organs to prevent further infection and advise ifwant to start family plan program, patient can use Intrauterine Device (IUD)as contraception.\",\"PeriodicalId\":14697,\"journal\":{\"name\":\"JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia\",\"volume\":\"347 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-03-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.53366/jimki.v7i2.51\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53366/jimki.v7i2.51","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
摘要
尿路感染(UTI)是一种由细菌攻击尿路引起的疾病。孕妇是尿路感染发生的危险因素之一,有导致早产和低出生体重(LBW)的危险。本病例报告描述了孕龄35周不到2天的G3P1A1Ah1型多孕妇女,主诉为紧致、夜间尿频和腰痛。患者有第一胎剖宫产史及婚前尿路感染发生率。血压:102/71 mmHg,脉搏90次/分钟。FH29 cm, EFW±2790 g,右背,头位,进入骨盆,4/5下降,心悸未见,胎心135次/分,节律不规则。实验室检查显示血红蛋白(Hb) 12.8 g / dL,白细胞超过正常阈值(5000-15000 / mm3)。然后给予乳酸钙、富马酸铁维持妊娠,并给予阿莫西林治疗尿路感染。教育患者保持生殖器官的清洁,防止进一步感染,并建议如果想开始计划生育,患者可以使用宫内节育器(IUD)避孕。
WANITA USIA 26 TAHUN, MULTIGRAVIDA HAMIL 35 MINGGU DENGAN DIAGNOSIS INFEKSI SALURAN KEMIH
Urinary tract infection (UTI) is a disease caused by bacteria that attack theurinary tract. Pregnant women are one of the risk factors for the occurrenceof UTI and are at risk of causing premature birth and low birth weight (LBW).This case report describes multigravida women with G3P1A1Ah1 with agestational age of 35 weeks less 2 days with complaints of tightness,frequent urination at night and lower back pain. The patient has a history ofcesarean section at the birth of the first child and the incidence of UTI beforemarriage. Blood pressure: 102/71 mmHg with pulse 90 times / minute. FH29 cm with EFW ± 2790 grams, right back, head presentation, had enteredthe pelvis with a 4/5 decline, His palpitations were not palpable, fetal heartrate was 135x / minute and irregular rhythm. On laboratory examinationshows the results of hemoglobin (Hb) examination of 12.8 g / dL and leukocytes exceed the normal threshold (5000-15000 / mm3). The patient isthen given calcium lactate, iron fumarate to maintain pregnancy andamoxicillin to treat UTI in patients. Patients are also educated to maintainthe cleanliness of genital organs to prevent further infection and advise ifwant to start family plan program, patient can use Intrauterine Device (IUD)as contraception.