pencernaan manusia eek\nSimpanSimpan Modul 8 Lbm 3 Berak Lendir.kamis.print Untuk Nanti\n16 tayangan24 halaman\nMODUL 8 LBM 3 Kelompok 19 BERAK LENDIR BERDARAH\nSTEP 1 1. berak le !"r ber!ara# $ berak %a & !"'er(a" le !"r !a !ara# ). m* (a# $ +ara 'al*ra pe +er aa ba&"a a(a' * (*k me &el*arka "'" %a kare a !"!alam *'*' (er,a!" "r"(a'" re&a &a a(a* ra &'a &a berleb"#a . 3. kemb* & $ '*a(* kea!aa !"ma a per*( (era'a pe *# -. !"are $ .rek/e '" berak meleb"#" ormal !a ber'".a( +a"r STEP ) 3. me &apa (er,a!" berak le !"r ber!ara# -. e("olo&" berak le !"r ber!ara# 0. me &apa ba%" m* (a# ,"ka !"ber" maka a a(a* m" *ma 1. me &apa ba%" kemb* & 2. me &apa 3ol*me *r" e berk*ra & 8. me &apa ba%" meme&a & per*( 'aa( me a &"' 9. me &apa a.'* maka me *r* 14. DD 11. !"a& o'"' 1). pe a(alak'a aa STEP 3 1. me &apa (er,a!" berak le !"r ber!ara# '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a al"ra kele ,ar l"m.e (er&a &&* pe &el*ara le !"r berleb"#a 5pe %ebab le !"r6 '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a pemb*l*# !ara# bal"k !ara# ma'*k ke*'*' 5pe %ebab berak ber!ara#6 ). e("olo&" berak le !"r ber!ara# '*mba(a $ 3ol3*l*'7 " 3a&" a'" " .ek'" 3. me &apa (er,a!" '*mba(a '*mba(a $ 3ol3*l*'7 " 3a&" a'" 3ol3*l*' $ (er,a!" p* ("ra *'*' !"'ebabka kare a 8888.. " 3a&" a'" $ ma'*k %a *'*' ke*'*' !"'ebabka 888888. -. me &apa ba%" m* (a# !a kemb* & ,"ka !"ber" maka a a(a* m" *ma '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a a"k (er,a!" m* (a#\n0. me &apa 3ol*me *r" e berk*ra & +a"ra (er(amp* & !"*'*' pe %erapa +a"ra !alam pemb*l*# !ara# berk*ra & +a"ra %a & ma'*k ke &" ,al me *r* 3ol*me *r" e berk*ra & 1. me &apa ba%" meme&a & per*( 'aa( me a &"' kare a a!a %a '*mba(a !a &erak par"'(al("k pa!a *'*' 'e#" &&a me %ebabka %er"7 'e 'a'" %er" !"(a &kap ole# er3*' 3a&*' 2. me &apa a.'* maka me *r* '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a pe *# ("!ak ma* maka 8. DD Ile*' 9 ak*( ab!ome Ma+am:ma+am %a$ Ile*' o meka "k 9 "le*' paral"("k $ kea!aa !"ma a *'*' &a&al a(a* ("!ak mamp* melak*ka ko (rak'" per"'(al("+ * (*k me %al*rka "'" %a Ile*' meka "k $ .a'e per(ama per"'(al("k !" ra &a'a & +epa( " (erm"((e 5ber#e (":ber&erak:ber#e ("6 ber#e (" kol"("' *l'era(". !%'e (r" 9. !"a& o'"' 14. pe a(alak'a aa\nSTEP TANDA <E=ALA\nPEMERIKSAAN ;ISISK Berak le !"r ber!ara#\nD"a& o'"' ba !" &\nPemer"k'aa Pe * ,a &\n;ak(or pe +e(*'\n!"a& o'"' Kompl"ka'" Terap"\nSTEP 0 1. me &apa (er,a!" berak le !"r ber!ara# '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a al"ra kele ,ar l"m.e (er&a &&* pe &el*ara le !"r berleb"#a 5pe %ebab le !"r6 '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a pemb*l*# !ara# bal"k !ara# ma'*k ke*'*' 5pe %ebab berak ber!ara#6 ). e("olo&" berak le !"r ber!ara# '*mba(a $ 3ol3*l*'7 " 3a&" a'" " .ek'" 3. me &apa (er,a!" '*mba(a '*mba(a $ 3ol3*l*'7 " 3a&" a'" 3ol3*l*' $ (er,a!" p* ("ra *'*' !"'ebabka kare a 8888.. " 3a&" a'" $ ma'*k %a *'*' ke*'*' !"'ebabka 888888. -. me &apa ba%" m* (a# !a kemb* & ,"ka !"ber" maka a a(a* m" *ma '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a a"k (er,a!" m* (a# 0. me &apa 3ol*me *r" e berk*ra & +a"ra (er(amp* & !"*'*' pe %erapa +a"ra !alam pemb*l*# !ara# berk*ra & +a"ra %a & ma'*k ke &" ,al me *r* 3ol*me *r" e berk*ra & 1. me &apa ba%" meme&a & per*( 'aa( me a &"' kare a a!a %a '*mba(a !a &erak par"'(al("k pa!a *'*' 'e#" &&a me %ebabka %er"7 'e 'a'" %er" !"(a &kap ole# er3*' 3a&*' 2. me &apa a.'* maka me *r* '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a pe *# ("!ak ma* maka 8. DD Ile*' 9 ak*( ab!ome Ma+am:ma+am %a$ Ile*' o meka "k 9 "le*' paral"("k $ kea!aa !"ma a *'*' &a&al a(a* ("!ak mamp* melak*ka ko (rak'" per"'(al("+ * (*k me %al*rka "'" %a Ile*' meka "k $ .a'e per(ama per"'(al("k !" ra &a'a & +epa( " (erm"((e 5ber#e (":ber&erak:ber#e ("6 ber#e (" kol"("' *l'era(". !%'e (r" 9. !"a& o'"' 14. pe a(alak'a aa\nSTEP 1 Bela,ar ma !"r" STEP 2 1. me &apa (er,a!" berak le !"r ber!ara# '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a al"ra kele ,ar l"m.e (er&a &&* pe &el*ara le !"r berleb"#a 5pe %ebab le !"r6 '*mba(a !"*'*' (er,a!" pe eka a !a pe " &ka(a (eka a pemb*l*# !ara# bal"k !ara# ma'*k ke*'*' 5pe %ebab berak ber!ara#6 5'*mber $ ;"'"olo&" Ke!ok(era . <*%(o a ! Hall6 ). e("olo&" berak le !"r ber!ara# '*mba(a $ 3ol3*l*'7 " 3a&" a'" " .ek'" 5'*mber $ ;"'"olo&" Ke!ok(era . <*%(o a ! Hall6 3. me &apa (er,a!" '*mba(a '*mba(a $ 3ol3*l*'7 " 3a&" a'" 3ol3*l*' $ (er,a!" p* ("ra *'*' !"'ebabka kare a 8888.. " 3a&" a'" $ ma'*k %a *'*' ke*'*' !"'ebabka 888888. '*mba(a $ 3ol3*l*'7 " 3a&" a'" 3ol3*l*' $ (er,a!" p* ("ra *'*' !"'ebabka kare a 3ol3*l*' !apa( !"'ebabka ole# me'e (er"*m 'e(empa( %a & (erlal* pa ,a &7 %a & mer*paka '*a(* kela" a +o &e "(al (er*(ama pa!a *'*' #al*' 5S*mber$Pa(olo&" A a(om"k7UI7 #al )416\n53ol3*l*' ///.'*r&"+al:(*(or.or&.*k'%'(emab!ome 3ol3*l*'.#(m : 1-k.#(m6 3ol3*l*' $ (er,a!" p* ("ra *'*' kare a !"la(a'" kolo ///.+"&p.or&9" !e> " 3a&" a'" $ ma'*k %a *'*' ke*'*' !"'ebabka " (*''ep'" mer*paka " 3a&" a'"7 'ala# 'a(* ba&"a *'*' ke!alam ba&"a ber"k*( %a !a mer*paka pe %ebab ob'(r*k'" %a & #amper e>+l*'"3e !"(em*ka pa!a ba%" !a bal"(a." (*'e'ep'" 'er" & (er,a!" pa!a "le*m (erm" al %a & ma'*k 'ek*m7 pe %ebab ob'(r*k'" " " b"'a !"kare aka kela" a +o &e "(al 5PATO;ISISOLO<I7S%l3"a7 #al -436 " 3a&" a'" $ ma'*k %a *'*' ke*'*' !"'ebabka\np!a ba%" !a a ak !"'ebabka kare a #%per(rop#"e! pe%er?' pa(+#e' ak"ba( " .ek'" 3"r*'7 per*ba#a +*a+a7 !a pola maka 7 !ll pa!a !e/a'a a ak be'ar !"'ebabka kare a a!a %a kela" a pa(#olo&"' 5!"3er("kel me+kel7 pol"p7 (*mor6 m*# #*'a" 7 .ar"! *r ma (*7 l"ma be!a# ;K UNHASS Sebab-sebab penyumbatan usus dapat dibagi menjadi: Ob'(r*k'" meka "k a. S(r"k(*r +o &e "(al !a !"!apa( b. A(re'"a +. A *' "mpor.ora(a !. S*mba(a ba(* empe!*7 .e'e' %a & be'ar a(a* be !a a'" & e. Perleka(a 5a!#e'"6 @ Adhesi Intra Abdomen. a. Ko &e "(al $ kare a per(*mb*#a ab ormal !ar" ro &&a per"(o e*m5p"(a 3"(ello" (e'(" al6 b. D"!apa( : I .lama'" $ ape !"'"("'7 kole'"'("("("' ak*(7 !"3er("k*l"("' ak*(7 ra!a & !aera# pel3"'7 !a pe &&* aa ala( ko (ra'ep'" !alam *(er*' 'ebel*m %a : Pa'+a opera'" $ ("mb*l 'e(ela# (er,a!" +e!era pa!a perm*kaa ,ar" &a 7 'eba&a" ak"ba( " '"'"7 ka*(er"'a'"7 ,a#"(a 7 a(a* meka "'me (ra*ma la" %a Patogenesis Adhesi ke("ka per"(o e*m me &alam" (ra*ma7 per!ara#a 7 !a kebo+ora pro(e" pla'ma7 !ar" perm*kaa %a & r*'ak membe (*k !epo'"( ."br" !alam ro &&a ab!ome . ;"br" " " ber.* &'" * (*k me &embal"ka ,ar" &a %a & r*'ak !a '".a( %a le &ke(7 'e#" &&a ek'*!a( ."br" !apa( meleka( ke '(r*k(*r ab!ome !" 'ek"(ar %a. Selama beberapa #ar" 'e(ela# +e!era7 perleka(a " " re3er'"bel7 !a ek'*!a( " " aka me &alam" !e&ra!a'" 'e+ara e A"ma("k ole# .ak(or ."br" ol"("k %a & !"lepa'ka 'e+ara lokal. Dalam /ak(* 0 #ar"7 ,ar" &a ."br" " " !"" 3a'" ole# ."brobla' %a & berprol".era'"7 %a & aka me &&a ("ka ."br" !e &a kompo e ma(r"k' ek'(ra'el*lar 5a (ara la" kola&e 6. Se(ela# per"'("/a " " (er,a!"7 a!#e'" me ,a!" "re3er'"bel. =a!"7 %a & me e (*ka (erbe (*k a(a* ("!ak %a a!#e'" (er&a (* & pa!a ke'e"mba &a a (ara pro'e' !epo'"'" ."br" !e &a !e&ra!a'" %a 'elama beberapa #ar" pa'+a opera'". Pencegahan : Pemaka"a a ("koa&*la $ 'o!"*m '"(ra(7 #epar" 7 !"k*marol7 !e>(ra 7 apro(" " . :Me &#"la &ka ek'*!a( ."br" !ar" ro &&a per"(o e*m\nMe &&* aka a&e ."br" ol"("k %a & me &*ra &" ma''a ."br" e+ara ("!ak la &'* & !e &a mera &'a & ak("3"(a' plasminogen activator.)3 Beberapa +o (o# a&e ."br" ol"("k " " a!ala# ."br" ol"'" 7 '(rep(ok" a'e7 *rok" a'e7 #%al*ro "!a'e7 k"mo(r"p'" 7 (r"p'" 7 pep'" 7 !a plasminogen activator.1-7)3 Plasminogen activator a!ala# pro(ea'e 'er" %a & me &ko 3er'" pla'm" o&e me ,a!" pla'm" . Pla'm" " " aka me %ebabka !e&ra!a'" ."br" . : Me +e&a# prol".era'" ."brobla' pe &&* aa a&e a (":" .lama'" 'eper("7 NSAID7 a ("#"'(am" 7 pro&e'(ero 7 Ca blocker7 !a kolk"'" . Meka "'me ker,a 'e+ara *m*m !e &a +ara me &*ra &" permeab"l"(a' 3a'k*lar7 me +e&a# pembe (*ka !a pelepa'a #"'(am" 7 !a 9a(a* me '(ab"lka l"'o'om. NSAID " " ,*&a beker,a !e &a me " &ka(ka .* &'" makro.a& !alam .* &'" %a 'eba&a" .a&o'"( !ebr"' ,ar" &a a(a* ."br" 7 !" 'amp" & mempe &ar*#" pe &*ra &a 'ekre'" " #"b"(or pla'm" o&e 'e#" &&a me " &ka(ka pro!*k'" pla'm" . A ("#"'(am" 'eper(" prome(aA" e7 me +e&a# re'po ' " .lama'"7 me '(ab"lka membra l"'o'om7 !a me +e&a# prol".era'" ."brobla'(. E.ek !ar" pro&e'(ero %a"(* e.ek a ("" .lama'"7 me +e&a# m"&ra'" le*ko'"(7 !a me &*ra &" permeab"l"(a' 3a'k*lar. Calcium channel blocker me +e&a# pelepa'a me!"a(or " .lama'" 3a'oak(". 'eper(" #"'(am" !a pro'(a&la !" E 'er(a ;. Kolk"'" me &#amba( 'ekre'" #"'(am" 7 ak("3"(a' m"(o("k7 !a kola&e '" (e'"'. : Pem"'a#a meka "k @ Lar*(a makromolek*l !a bar"er meka "k. Meka "'me ker,a +a"ra kr"'(alo"!7 !" 'amp" & ber'".a( 'eba&a" pem"'a# 'e+ara meka "' ,*&a me !"l*'" ."br" !a ek'*!a( ."br" %a & !"lepa'ka perm*kaa per"(o e*m %a & me &alam" (ra*ma. Sa%a & %a7 +a"ra kr"'(alo"! !"ab'orb'" +epa( 5044 ml !alam 1- ,am6 'e#" &&a e.ek pem"'a#a meka "' %a +epa( #"la & 'ebel*m pro'e' !epo'"'" !a pembe (*ka a!#e'" 'ele'a" @ A'am #%al*ro a( 5HA6 beker,a !e &a melap"'" lap"'a 'ero'a7 !a 'ampa" !era,a( (er(e (* me +e&a# pe &er" &a 'ero'a. HA " " !"komb" a'"ka !e &a Phosphate Buffered Saline 5PBS6 !alam +a"ra makromolek*l * (*k me +e&a# a!#e'"7 +o (o# %a Sepra+oa(B 5<e A%me7 Cambr"!&e7 Ma''.7 USA6. PBS !"ber"ka " (raopera(". 'ebel*m !"'ek'" * (*k mel" !* &" perm*kaa per"(o e*m !ar" +e!era opera'" %a & (ak la &'* &. Ca"ra " " +*k*p e.ek(". !alam me +e&a# a!#e'" pa'+a opera'". @ Karbok'"me("l'el*lo'a beker,a !e &a melap"'" perm*kaa per"(o e*m %a & (erb*ka !a mem* &k" ka pro'e' pe %emb*#a per"(o e*m %a & (erl*ka 'e+ara " !epe !e : Ma "p*la'" ,ar" &a !e &a 'ar* & (a &a be!a# %a & m" "mal !a !"'ek'" %a & leb"# ak*ra( ,*&a berpera !alam me &*ra &" pro'e' a!#e'". Pe &&* aa CO) pa!a p e*moper"(o e*m ,*&a me eka re'po ' me(abol"k 'el per"(o e*m Mengurangi terbentuknya Adhesi:\n1. Hemo'(a'"' %a & +erma($ #emo'(a'"' %a & ("!ak mema!a" aka me &ak"ba(ka !epo'"'" ."br" !a me " &ka(ka pembe (*ka a!#e'" ). =a&a 3a'k*lar"'a'"$ memba(a'" "'kem"a aka me !*k* & pro'e' ."br" ol"'"' 3. =a&a kelembaba ,ar" &a $ "r"&a'" %a & 'er" & !a pe &&* aa ka''a ba'a# me +e&a# pe &er" &a ,ar" &a . A!a %a keker" &a aka me %ebabka kem* &k" a m*!a# %a (er,a!" (ra*ma per"(o e*m. R" &er Lak(a( a(a* +a"ra "r"&a'" la" %a ,*&a !apa( me &*ra &" '"'a (alk*m a(a* bek*a !ara#7 %a & !apa( mer*paka pem"+* ba&" reak'" be !a a'" &7 " .lama'" !a ak#"r %a pembe (*ka a!#e'" -. H" !ar" pe &&* aa ka''a ker" &. Pe &&* aa ka''a ker" & 'eba"k %a !"#" !ar" kare a mereka !apa( mer*'ak perm*kaa per"(o e*m !a me %ebabka (er(" &&al %a be !a a'" & 0. Mem" "malka ma "p*la'" ,ar"&a $ ma "p*la'" ,ar" &a me " &ka(ka kem* &k" a ker*'aka 3a'k*lar a(a* ,ar" &a . B"la !"perl*ka ma "p*la'" per"(o e*m7 &* aka " '(r*me a(ra*ma("k a(a* ,ar". Sela" "(*7 pemo(o &a !a ka*(er"'a'" !"*'a#aka 'em" "mal m* &k" * (*k me &*ra &" (ra*ma 'er(a memper(a#a ka 3a'k*lar"'a'" 1. <* aka ,a#"(a %a & #al*' !a o reak(".. U (*k me &#" !ar" reak'" be !a a'" &7 &* aka be a & !e &a *k*ra %a & #al*' !a (erb*a( !ar" ba#a '" (e("' 2. H" !ar" pe &&* aa &ra.( !ar" per"(o e*m. Graft !ar" per"(o e*m me %ebabka (ra*ma ba&" per"(o e*m !a me &*ra &" 3a'k*lar"'a'" 8. H" !ar" ,a#"(a per"(o e*m %a & ke(a(. =a#"(a %a & ke(a( aka me %ebabka e.ek "'kem"a pa!a per"(o e*m7 ba#ka beberapa a#l" be!a# ("!ak melak*ka pe ,a#"(a per"(o e*m 'aa( me *(*p l*ka opera'". 9. Mem" "malka pe &&* aa be !a a'" &. Be !a a'" & !apa( me %ebabka ker*'aka perm*kaa per"(o e*m7 me "mb*lka " .lama'"7 !a ak#"r %a pembe (*ka a!#e'". 14. H" !ar" "le*' paral"("k berlar*( pa'+a be!a#. U'a#aka per"'(al("k *'*' +epa( kembal"7 kare a !e &a ber&erak %a *'*' melal*" pro'e' per"'(al("k !a ak("3"a' ."br" ol"'"'7 a!#e'" %a & (emporer aka 'e&era me &alam" l"'"' kare a ko (ak a (ara perm*kaa 'ero'a ("!ak (erlal* lama 11. Me +e&a# ("mb*l %a " .ek'". A!a %a pro'e' " .ek'" %a & berla ,*( pa!a per"(o e*m aka (er*' mera &'a & pro'e' " .lama'" !a '" (e'"' kola&e 7 'er(a ak("3"(a' ."br" ol"'"' aka !"#amba(7 'e#" &&a (er,a!" a!#e'" %a & perma e 1). =a &a (" &&alka ,ar" &a ekro("k. =ar" &a ekro("k aka mera &'a & pro'e' m"&ra'" 'el:'el e*(ro."l !a pelepa'a me!"a(or la" %a. Pa!a ak#"r %a7 pro'e' " .lama'" aka berla ,*( !a ak("3"(a' ."br" ol"'"' !"#amba(. Pemeriksaan penunjang Laparaskopi USG Dapa( me &"!e ("."ka'" !a member"ka &ambara !aera# a!#e'" " (raab!ome . <eraka per&e'era ormal !apa( (er,a!" 'e+ara 'po (a\nak"ba( &eraka per apa'a a(a* !"" !*k'" !e &a palpa'" ab!ome . <eraka visceral slide %a & (erba(a' mer*paka " !"ka'" %a & k*a( a!a %a a!#e'" " (raab!ome\nBagian Bedah Fakultas Kedokteran Universitas Indonesia, Jakarta Bedah dan Perawatannya. E.Oswari. FK UI.\n.. Her "a : : : : : enis hernia menurut tempatnya $ #er "a " &*" al"' $ #er "a !& "'" per*( %& (ampak p! !aera# 'ela pa#a 5re&"o " &*" al"'6 #er "a .emoral"' $ #er "a "'" per*( %& (ampak !" !aera# .o'a .emoral"' #er "a *mb"l"kal"' $ #er "a "'" per*( %& (ampak !aera# p*'ar #er "a !"a&#.ra&ma("+a $ #er "a "'" per*( %& ma'*k melal*" l*ba & !"a&#.ra&ma("+a ke ro &&a !a!a #er "a *+le*' p*lpo'*' 5HNP6 $ #er "a %& (er,a!" p! '*m:'*m (*la & belaka &7 (er,a!" kare a *+le*' p*lpo'*' %& bera!a !"a (ara ) (*la & belaka & me o ,ol kel*ar 7 be ,ola " " !apa( me eka '*m'*m (*la & belaka & a(a* 'ara. %a7 b"a'a %a #er "a (er,a!" p! (*la & p* &&* & ak"ba( pe !er"(a mera'a 'ak"( p! ke:) (* &ka" ba/a# !a b"la leb"# #eba( !apa( me %ebabka kel*mp*#a ke:) kak" enis menurut dapat tidaknya masuk kemba!i : #er "a re3er'"ble #er "a "rre3er'"ble 5" +ar+era(a6 enis menurut dapat tidaknya ter!ihat dr !uar : #er "a " (er a $ #er "a (er,a!" !" !alam ro &&a ba!a 7 e> $ #er "a !"a&#.ra&ma("+a #er "a ek'(er a $ %& me o ,ol kel*ar 'e#" &&a (ampak !r l*ar enis menurut isi : #er "a a!"po'a $ %& "'" %a (er!"r" !r ,ar" &a lemak #er "a l"((re $ #er "a " ka'era(a a(a* '(ra &*la(a %& 'eba&"a !" !" & *'*' %a (er,ep"( !alam +" +" #er "a 'l"!" & #er "a $ "'" #er "a m,!" 'eba&"a !r !" !" & ka (o & #er "a "tio!ogi : 'eba&"a !" !" & ro &&a lema# %& !"'ebabka +a+a( ba/aa a(a* kea!aa %& !"!apa( 'e'*!a# la#"r Geja!a : (ampak be ,ola !"l"pa(a pa#a b"la "'" %a (er,ep"( aka me "mb*lka pera'aa 'ak"(!" empa( "(* !"'er(a" pera'aa m*al b"la (er,a!" #er "a " &*" al"' '(ra &*la(a pera'aa 'ak"( aka ber(amba# #eba( 'er(a k*l"( !"a(a' %a me ,a!" mera# !a pa a' #er "a .emoral"' ke+"l m* &k" ber"'" !" !" & ka !* & ke +" &7 'e#" &&a me "mb*lka &e,ala 'ak"( ke +" & 5!"'*r"a6 !"'er(a" #ema(*r"a 5ke +" & !ara#6 !" 'amp" & be ,ola !" ba/a# 'ela pa#a #er "a !"a&#.ra&ma("ka me "mb*lka pera'aa 'ak"( !" !aera# per*( !"'er(a" 'e'ak a.a' b"la pa'"e me &e,a 9 ba(*k mk be ,ola #er "a aka ber(amba& be'ar\nPenata!aksanaan : opra'" me *(*p #er "a %a #er "o&ra." $ !" !" & per*( %& lema# !"po(o & !a !",a#"( #er "ora." $ 'el*r*# ka (o & #er "a !"po(o & m"'al p! #er "a " ka'era(a %& (ela# me ,a!" &a &&re #er "opla'("k $ !" !" & %& lema# "(* !"(empel" !& .a'"a7 m"'al !"amb"l .a'"a o(o( pa (a(\n&. Dol3*l*' #. I (*'*'ep'"o 5" 3a&" a'"6 ". Ile*' Ob'(r*k'" Da'k*lar7 (rombo'"' ar(er" me'e (er"ka S*mber $ Be!a# !a Pera/a(a %a. O'/ar"7 E -. me &apa ba%" m* (a# !a kemb* & ,"ka !"ber" maka a a(a* m" *ma '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a a"k (er,a!" m* (a# Meka "'me m* (a# Ber a.a' !alam Na"k %a (*la & l"!a# !a lar" & * (*k memb*ka '(r" &.ero.a&*' ba&"a a(a' '*pa%a memb*ka Pe *(*pa &lo("' Pe &a &ka(a pala(*m mole * (*k me *(*p are' po'(er"or Da(a & ko (rak'" %a & k*a( keba/a# !"a.ra&ma ber'ama !& ra &'a & ko (rak'" 'em*a o(o( !" !" & ab!ome Pa!a 'aa( m* (a# ko (rak'" " (r"k'" k*a( (er,a!" pa!a !e*!e *m !a lamb* & ber'ama !& relak'a'" 'eba&"a !ar" '(r" &.er e'o.a&*' ba&"a ba/a# '#& memb*a( m* (a#a m*la" ber&erak !lm e'o.a&*' o M* (a# mrp '*a(* +ara (rak(*' !"&e'("3*' member'"#ka !"r" %a 'e !"r" !ar" "'" %a7!"'(e '" %& berleb"#a a(a* r"(a'" !e*!e *m me %ebabka ra &'a &a k*'*' * (*k m* (a# 5S*mber $ ;"'"olo&" Ke!ok(era <*%(o !a Hall6 0. me &apa 3ol*me *r" e berk*ra & +a"ra (er(amp* & !"*'*' pe %erapa +a"ra !alam pemb*l*# !ara# berk*ra & +a"ra %a & ma'*k ke &" ,al me *r* 3ol*me *r" e berk*ra & 5S*mber $ ;"'"olo&" Ke!ok(era <*%(o !a Hall6 1. me &apa ba%" meme&a & per*( 'aa( me a &"' kare a a!a %a '*mba(a !a &erak par"'(al("k pa!a *'*' 'e#" &&a me %ebabka %er"7 'e 'a'" %er" !"(a &kap ole# er3*' 3a&*' 5S*mber $ ;"'"olo&" Ke!ok(era <*%(o !a Hall6 2. me &apa a.'* maka me *r* '*mba(a maka a !a m" *ma (er(amp* & !"*'*' (er,a!" pembe'ara *'*' kemb* & "'" %a pe *# ("!ak ma* maka\n5S*mber $ ;"'"olo&" Ke!ok(era <*%(o !a Hall6 8. DD Ile*' 9 ak*( ab!ome Ma+am:ma+am %a$ Ile*' o meka "k 9 "le*' paral"("k $ kea!aa !"ma a *'*' &a&al a(a* ("!ak mamp* melak*ka ko (rak'" per"'(al("+ * (*k me %al*rka "'" %a Ile*' meka "k $ .a'e per(ama per"'(al("k !" ra &a'a & +epa( " (erm"((e 5ber#e (":ber&erak:ber#e ("6 ber#e (" Ile*' ob'(r*k(". $ kare a 3ol3*l*'7 " 3a&" a'"7 a(re'"a7 ba !7 #er "a " kar'era(a7 kel" a a ba/aa 7 a!e'"7 a'kar"a'"'7 (*mor pr"mer7 TBC7 !"3er("+*l*m me+kel7 ob' maka a Ile*' per"(o "("' 5kare a " .ek'"6 <ab* &a ke!*a %a\n5 S*mber $ ;"'"olo&" Ke!ok(era . <*%(o A ! Hall6 9. D"a& o'"' ak*( ab!ome Anamnesis Pa!a '*a(* pe %ak"( be!a# !ar*ra( a am e'"' mer*paka pemer"k'aa %a & 'a &a( pa (" &. Ba#a :ba#a *(ama %a & dapat !"perole# melal*" a am e'"' %a & member"ka " .orma'" sangat ber#ar&a pa!' pro'e' pe e&aka !"a& o'"' a!ala# $ A. Lokasi nyeri D" a(a' (ela# !"ber"ka !a.(ar kem* &k" a !"a& o'"' ba ding !ar" pe %ak"(:pe %ak"( ber!a'arka loka'" . Loka'" %er" (er'eb*( apaka# !"!aera# $ : K/a!ra ka a a(a'7 +o (o# $ ab'e' #epar. : K/a!ra k"r" a(a'7 +o (o# $ " .ark m"okar! ak*(7 p e*mo "a : Para *mb"l"+al7 +o (o# $ "le*' ob'(r*k'"7 ape !"k'7!"3er+*l"("'. : K/a!ra ka a ba/a#7 +o (o# $ #er "a " &*" al"' " +a'era(a9 '(ra &*la(e. : K/a!ra k"r" ba/a#7 +o (o# $ #er "a " &*" al"' " +a'era(a9 '(ra &*la(e. B. Ra!"a'" pera'aa nyeri Ka!a &:ka!a & " .orma'" me &e a" +ara pe %ebara ra'a %er" 5ra!"a'" pera'aa %er"6 !apa( member"ka pe(* ,*k me &e a" a'al:*'*l a(a* loka'" pe %ebab %er" "(*. N%er" %a & bera'al !ar" 'al*ra empe!* me ,alar ke 'amp" & 'ampa" ba&"a ba/a# '+ap*la ka a . N%er" kare a appe !"+"("' !apa( m*la" !ar" !aera# ep"&a'(r"*m * (*k ke( *!"a berp" !a# ke k/a!ra ka a ba/a#. N%er" !ar" !aera# rek(*m !apa( me e(ap !" !aera# p* &&* & ba/a#. #. $entuk rasa nyeri\nN%er" pa!a ak*( ab!ome !apa( berbe (*k %er" (er*' me er*' a(a* ber*pa kol"k. %. Perubahan &isio!ogi a!at pencernaan 1. Na.'* maka 7 m*al7 m* (a#De.eka'" (era(*r7 me +re(7 ob'("pa'"7 Per*( kemb* &7 'era &a kol"k ). S*!a# berapa lama 'em*a per*ba#a " " berla &'* & ". Perubahan anatomi . A!a %a be ,ola eopla'ma A!a %a l*ka ak"ba( (ra*ma A!a %a beka' opera'" apa. Pemer"k'aa ."'"k !"lak'a aka !e &a memer"k'a !*l* keadaan *m*m pe !er"(a 5'(a(*' &e eral"'6 * (*k e3al*a'" kea!aa '"'("m pema.a'a 7 '"'("m kar!"o3a'k*ler !a '"'("m 'ara. %a & mer*paka '"'("m 3"(al * (*k kela &'* &a ke#"!*pa . Pemer"k'aa kea!aa lokal 5'(a(*' lokal"' ab!ome 6 pe !er"(a !"lak'a aka 'e+ara '"'(ema("' !e &a " 'pek'"7 palpa'"7 perk*'" !a a*'k*l(a'". Ta !a:(a !a k#*'*' pala ak*( ome (er&a (* & pa!a pe %ebab %a 'eper(" (ra*ma7 pera&a 7 per.ora'" a(a* ob'(r*k'". Inspeksi Ta !a:(a !a k#*'*' pa!a (ra*ma !aera# ab!ome a!ala# $ Pe !er"(a ke'ak"(a . Per a.a'a !a &kal kare a %er" !aera# ab!ome .Pe !er"(a p*+a(7 ker" &a( !" &" .Beka':beka' (ra*ma pa!' !" !" & ab!ome 7 memar7 l*ka7kolap' ome (*m a(a* *'*'.Ka!a &:ka!a & pa!a (ra*ma (*mp*l ab!ome '*kar !"(e (*ka (a !a:(a !a k#*'*'7 maka #ar*' !"lak*ka pemer"k'aa ber*la & ole# !ok(er %a & 'ama * (*k me !e(ek'" kem* &k" (er,a!" %a per*ba#a pa!a pemer"k'aa ."'"k.Pa!a "le*' ob'(r*k'" (erl"#a( !"'(e '" ab!ome b"la ob'(r*k'" %a re !a#7 !a b"la ora & %a k*r*' ka!a &:ka!a & (erl"#a( (al'"' *'*' (Darm-steifung). Kea!aa *(r"'" pe !er"(a Pa!pasi a6 Ak*( ab!ome member"ka ra &'a &a pa!' per"(o e*m melal*" pera!a &a a(a* "r"(a'" per"(o e*m 'e+ara lokal a(a* *m*m (er&a (* & !ar" l*a' %a !aera# %a & (erke a "r"(a'". b6Palpa'" aka me * ,*kka ) &e,ala $ 1.Pera'aa %er" Pera'aa %er" %a & mema & '*!a# a!a (er*' me er*'aka ber(amba# pa!' /ak(* palpa'" 'e#" &&a !"ke al &e,ala %er" (eka !a %er" lepa'. Pa!a pe"(o "("' lokal aka ("mb*l ra'a %er" !" !aera# pera!a &a pa!' pe eka a !" !" & ab!ome !" !aera# la" . ).Ke,a & o(o( (defense musculaire muscular rigidit!) Ke,a & o(o( !"("mb*lka kare a ra'a %er" pa!' per"(o "("' !"..*'a %a & kare a ra &'a &a palpa'" ber(amba# 'e#" &&a 'e+ara re.lek' (er,a!" ke,a & o(o(.\nPerkusi Perk*'" pa!' ak*( ab!ome !apa( me * ,*kka ) #al. 16 Pera'aa %er" ole# ke(oka pa!' ,ar". I " !"'eb*( 'eba&a" %er" ke(ok. )6B* %" ("mpa " kare a me(eor"'m*' !"'ebabka !"'(e '" *'*' %a & ber"'"ka &a' pa!' "le*' ob'(r*k'" re !a#. A*'k*l(a'" A*'k*l(a'" ("!ak member"ka &e,ala kare a pa!a ak*( ab!ome (er,a!" pera &'a &a per"(o e*m %a & 'e+ara re.lek' aka me &ak"ba(ka "le*' paral"("k. Pemer"k'aa pe * ,a & Pemeriksaan recta! toucher perabaa rek(*m !e &a ,ar" (el* ,*k ,*&a mer*paka pemer"k'aa r*(" * (*k me !e(ek'" a!a %a (ra*ma pa!' rek(*m a(a* kea!aa amp*lla re+(" apaka# ber"'" .ae+e' a(a* (eraba (*mor.Se(ela# !a(a:!a(a pemer"k'aa ."'"k (erk*mp*l !"perl*ka ,*&a pemer"k'aa (amba#a ber*pa $ '.Pemeriksaan !aboratorium ") Pemeriksaan darah rutin Pemer"k'aa Hb !"perl*ka * (*k base-line data b"la (er,a!"per!ara#a (er*' me er*'. Dem"k"a p*la !e &a pemer"k'aa #ema(okr"(. Pemer"k'aa le*ko'"( %a & meleb"#" )4.4449mm (a pa (er!apa( %a " .ek'" me * ,*kka a!a %a per!ara#a +*k*p ba %ak (er*(ama pa!' kem* &k" a r*p(*ra l"e al"'.Ser*m am"la'e %a & me " &&" me * ,*kka kem* &k" a a!a %a (ra*ma pa krea' a(a* per.ora'" *'*' #al*'. Ke a"ka (ra 'am" a'e me * ,*kka kem* &k" a (ra*ma pa!' #epar. B) Pemeriksaan urine rutin Me * ,*kka a!a %a (ra*ma pa!' 'al*ra kem"# b"la !",*mpa" #ema(*r". Ur" e %a & ,er "# bel*m !apa( me %" &k"rka a!a %a (ra*ma pa!a 'al*ra *ro&e "(al. (. Pemeriksaan radio!ogi ") #oto thoraks Selal* #ar*' !"*'a#aka pemb*a(a .o(o (#orak' !alam po'"'" (e&ak * (*k me %" &k"rka a!a %a kela" a pa!a (#orak' a(a* (ra*ma pa!' (#orak' Ham' ,*&a !"per#a("ka a!a %a *!ara beba' !" ba/a# !"a.ra&ma a(a* a!a %a &ambara *'*' !alam ro &&a (#orak' pa!a #er "a !"a.ra&ma("ka. B) Plain abdomen foto tegak Aka memperl"#a(ka *!ara beba' !alam ro &&a per"(o e*m7 *!ara beba' re(roper"(o eal !eka( !*o!e *m7 +orp*' al"e *m7 per*ba#a &ambara *'*'. C) $%P ($ntravenous P!elogram) Kare a ala'a b"a%a b"a'a %a #a %a !"m" (aka b"la a!a per'a &kaa (ra*ma pa!a &" ,al. D) Pemeriksaan &ltrasonografi dan C'-scan\nBere* a 'eba&a" pemer"k'aa (amba#a pa!a pe !er"(a %a & bel*m !"opera'" !a !"'a &'"ka a!a %a (ra*ma pa!a #epar !a re(roper"(o e*m. 3. Pemeriksaan khusus ") "bdominal paracentesis Mer*pal+a pemer"k'aa (amba#a %a & 'a &a( ber&* a * (*k me e (*ka a!a %a per!ara#a !alam ro &&a per"(o e*m. Leb"# !ar" 144.444 er"(ro'"(9mm !alam lar*(a NaCl %a & kel*ar !ar" ro &&a per"(o e*m 'e(ela# !"ma'*kka 144::)44 ml lar*(a NaCl 4.9E 'elama 0 me "(7 mer*paka " !"ka'" * (*k laparo(om". B) Pemeriksaan laparoskopi D"lak'a aka b"la a!a ak*( ab!ome * (*k me &e(a#*" la &'* & '*mber pe %ebab %a. C6 B"la !",*mpa" per!ara#a !a a *' perl* !"lak*ka rek(osigmoidoskopi. D6 Pema'a &a nasogastric tube((G') * (*k memer"k'a +a"ra %a & kel*ar !ar" lamb* & pa!' (ra*ma ab!ome . Dar" !a(a %a & !"perole# melal*" a am e'"'7 pemer"k'aa ."'"k7 pemer"k'aa (amba#a !a pemer"k'aa k#*'*' !apa( !"a!aka a al"'"' !a(a * (*k memperole# !"a& o'"' ker,a !a ma'ala#:ma'ala# 'amp" &a %a & perl* !"per#a("ka . De &a !em"k"a !apa( !"(e (*ka (*,*a pe &oba(a ba&" pe !er"(a !a la &ka#:la &ka# %a & !"perl*ka * (*k me +apa" (*,*a pe &oba(a TU=UAN PEN<OBATAN AKUT ABDOMEN Dapa( !"ba&" !*a $ 16 Pe %elama(a ,"/a pe !er"(a )6Mem" "mal"'a'" kem* &k" a (er,a!" %a +a+a! !alam .* &'" ."'"olo&"' ala( pe +emaa pe !er"(a. B"a'a %a la &ka#:la &ka# "(* (er!"r" !ar" $ 16T" !aka pe a &&*la &a !ar*ra( A6 Ber*pa (" !aka re'*'"(a'" * (*k memperba"k" '"'("m per a.a'a !a kar!"o3a'k*ler %a & mer*paka (" !aka pe %elama(a ,"/a pe !er"(a. B"la '"'("m 3"(al pe !er"(a '*!a# '(ab"l !"lak*ka (" !aka la ,*(a ber*pa 5B6 !a 5C6. B6 Re'(ora'" ke'e"mba &a +a"ra !a elek(rol"(. C6 Pe +e&a#a " .ek'" !e &a pember"a a ("b"o("ka. )6T" !aka pe a &&*la &a !e." "(". T*,*a pe &oba(a !" '" " a!ala# $ 16 Pe %elama(a ,"/a pe !er"(a !e &a me &#e ("ka '*mber per!ara#a . )6 Mem" "mal"'a'" +a+a! %a & m* &k" (er,a!" !e &a +ara $ me &#"la &ka '*mber ko (am" a'". mem" "mal"'a'" ko (am" a'" %a & (ela# (er,a!" !e &a member'"#ka ro &&a per"(o e*m\nme &embal"ka ko (" *"(a'pa''a&e *'*' !a me %elama(ka 'eba %ak m* &k" *'*' %a & 'e#a( * (*k mem" "mal"'a'" +a+a! ."'"olo&"'. T" !aka * (*k me +apa" (*,*a " " ber*pa opera'" !e &a memb*ka ro &&a ab!ome %a & !" amaka laparo(om". Laparo(om" ek'plora'" !ar*ra( A6 T" !aka 'ebel*m opera'" 1.Kea!aa *m*m 'ebel*m opera'" 'e(ela# re'*'"(a'" 'e!apa( m* &k" #ar*' '(ab"l. B"la " " ("!ak m* &k" (er+apa" kare a per!ara#a %a & 'a &a( be'ar7 !"lak'a aka opera'" la &'* & * (*k me &#e ("ka '*mber per!ara#a . ).Pema'a &a N<T (nasogastric tube) 3.Pema'a &a dauer-katheter -.Pember"a a ("b"o("ka 'e+ara pare (eral pa!' pe !er"(a !e &a per'a &kaa per.ora'" *'*'7 '#o+k bera( a(a* (ra*ma m*l("pel. 0.Pema'a &a thora)-drain pa!' pe !er"(a !e &a .rak(*r "&a7 #aemo(#orak' a(a* p e*mo(#orak'. B6 I '"'" laparo(om" * (*k ek'plora'" 'eba"k %a " '"'" me!"a a(a* para me!"a pa ,a &. C6 La &ka#:la &ka# pa!a laparo(om" !ar*ra( a!ala# $ 1.Se&era me &a!aka ek'plora'" * (*k me em*ka '*mberper!ara#a . ).U'a#a me &#e ("ka per!ara#a 'e+epa( m* &k" .B"la per!ara#a bera'al !ar" or&a pa!a( pe &#e ("a per!ara#a !"+apa" !e &a (ampo ab!ome * (*k 'eme (ara. Per!ara#a !ar" ar(er" be'ar #am' !"#e ("ka !e &a pe &&* aa klem 3a'k*ler. Per!ara#a !ar" 3e a be'ar !"#e ("ka !e &a pe eka a la &'* &. 3.Se(ela# per!ara#a ber#e (" !e &a (" !aka !ar*ra( !"ber"ka ke'empa(a pa!' a e'(e'" * (*k memperba"k" 3ol*me !ara#. -.B"la (er!apa( per.ora'" a(a* la'era'" *'*' !"a!aka pe *(*pa l*ba & per.ora'" a(a* re'ek'" *'*' !e &a a a'(omo'"'. 0.D"a!aka pember'"#a ro &&a per"(o e*m !e &a "r"&a'" lar*(a NaCl ."'"olo&"k. 1.Sebel*m ro &&a per"(o e*m !"(*(*p #ar*' !"a!aka ek'plora'" '"'(ema("' !ar" 'el*r*# or&a !alam ab!ome m*la" !ar" ka a a(a' 'ampa" k"r" ba/a# !e &a memper#a("ka !aera# re(roper"(o eal !*o!e *m !a b*r'a ome (al"'. 2.B"la '*!a# a!a ko (am" a'" ro &&a per"(o e*m !"&* aka drain !a '*bk*("' 'er(a k*("' !"b"arka (erb*ka. S. Soe)andi Bagian Bedah #akultas *edokteran &niversitas Sumatera &tara +edan Ma+am:ma+am %a$\nIle*' o meka "k 9 "le*' paral"("k $ kea!aa !"ma a *'*' &a&al a(a* ("!ak mamp* melak*ka ko (rak'" per"'(al("+ * (*k me %al*rka "'" %a. Per"'(al("k *'*' !"#amba( ak"ba( pe &ar*# (ok'" 9(ra*ma %a & mempe &ar*#" pe &e !al"a o(o om mo("l"(a' *'*'. "tio!ogi: : Pembe!a#a ab!ome kare a a!a %a re.lek pe &#amba(a per"'(al("k ak"ba( 3"'era ab!ome %a & (er'e (*# (a &a . Ile*' meka "k $Ter,a!" ob'(r*k'" !alam l*me *'*'9 ob'(r*k" m*ral %a & !"'ebabka ole# (eka a ek'(r" '"k. ;a'e per(ama per"'(al("k !" ra &'a & +epa( " (erm"((e 5ber#e (":ber&erak:ber#e ("6 ber#e (". Ob'(r*k'" meka "' '"mplek5#a %a (er!apa( 1 (empa( ob'(r*k'"6 Ob'(r*k'" le &k* & (er(*(*p5'e!"k"( %a (er!apa( ) (empa( ob'(r*k'"6. T"!ak !apa( !"!ekompre'"7 'e#" &&a (eka a " (ral*me me " &ka( +epa( !a me &ak"ba(ka (er,a!" %a pe eka a pemb*l* !ara#7 "'kem"a7 " .ark. "tio!ogi: : A!#e'" kare a opera'" 'ebel*m %a : T*mor &a a' !a 3ol3*l*' : Ka ker kolo : I (*'*'ep'"$" 3a&" a'" 'ala# 'a(* ba&"a *'*' ke !lam ba&"a ber"k*( %a "tio!ogi : 1. &a &&*a (er#a!ap per"(o "*m7 m"'al %a $ : per"(o "("' ak"ba( +e!era 9 opra'" : per"(o "("' kare a bak(er" : per"(o "("' kare a Aa( k"m"a ). per*ba#a p! pemb*l*# !ara# : (er,a!" '(ra &*la'"7 m"'al %a $ p! #er "a " ka'era(a : (romb*' kare a bak(er" : ob'(r*k'" %& berkepa ,a &a 3. &a &&*a !" l*ar per"(o e*m : per!ara#a : " .ek'" : +e!era p! &" ,al : +e!era p! '%ara. re(roper"(o eal Ile*' paral"("k Ter,a!" b"la (er!apa( &a &&*a pa!a per"'(al("k *'*'7 m"'al $ p! pera!a &a per"(o e*m7 &a &&*a '%ara. o(o( *'*'7 *rem"a !a (er'*mba( %a pemb*l*# !ara# me'e (r"*m Geja!a : : m* (a# F m* (a# : per*( kemb* & : ob'("pa'" : ("!ak (era'a m*la' : ("!ak a!a b"'" & *'*'\n: b"la (er,a!" per"(o "("' ("mb*l pera'aa 'ak"( p! per*( !a !" !" & per*( me e&a & : pa a' : !e %*( a!" +epa( : leko'"(o'"' Pengobatan : Pr" '"p %a me +e&a# ("mb*l %a "le*' paral"("k7 perl* !"per#a("ka G : 'ebel*m opra'" ,a &a !"ber" ka(ar("k 9 oba( *r*':*r*' : per"k'a 'em*a pa'"e %& me &el*# 'ak"( per*( 'e+ara 'ek'ama7 'e#" &&a b"la (er!apa( ape !"'"("'7 #er "a7 a(a* pe %ebab la" %& perl* 'e&era !"lak*ka opra'" !apa( !"lak'a aka '+r +epa( : 'elama opra'" *'*' ,a &a (erlal* ba %ak meme&a & *'*' apab"la ("!ak !"perl*ka 'ekal" : 'ekal" "le*' paral"("k (er,a!" 'a &a( '*l"( !"oba(" kol"("' *l'era(". D%'e (r" Disentri Basiler (Shigellosis) Infeksi akut ileum terminalis dan kolon yang disebabkan oleh bakteri genus Shigella. Patofisiologi Semua strain kuman Shigella menyebabkan disentri, yaitu suatu keadaan yang ditandai diare, dengan konsistensi tinja biasanya lunak (tidak cair) disertai eksudat inflamasi yang mengandung leukosit polimorfonuklear (PMN) dan darah. olon merupakan tempat utama yang diserang Shigella namun ileum terminalis dapat juga terserang. Pada kasus yang sangat berat dan mematikan kuman dapat ditemukan juga pada lambung serta usus halus. Setalah mele!ati lambung dan usus halus, kuman ini mengin"asi sel epitel mukosa kolon dan berkembangbiak di dalamnya. Perbatasan in"asi kuman ke sel di sekitarnya melalui mekanisme cell#to cell transfer. $alaupun lesi a!al terjadi di lapisan epitel namun respons inflamasi lokal yang menyertai cukup berat, melibatkan leukosit PMN dan makrofag. %al tersebut menyebabkan edema, mikroabses, hilangnya sel goblet, rusaknya arsitektur jaringan dan ulserasi mukosa. &ila penyakit berlanjut, terjadi penumpukan sell inflamasi pada lamina propria, dengan abses pada kripta merupakan gambaran yang utama. S. dysentriae, S. fle'neri, dan S. sonnei menghasilkan eksotoksin antara lain Sh()*, Sh()+, toksin Shiga, yang mempunyai sifat enterotoksik, sitotoksik, dan neurotoksik.\n(nterotoksin tersebut merupakan salah satu faktor "irulen sehingga kuman lebih mampu mengin"asi sel epitel mukosa kolon dan memperberat gejala klinis. uman Shigella jarang melakukan penetrasi ke jaringan di ba!ah mukosa sehingga jarang menyebabkan bakteremia. $alaupun demikian, pada keadaan malnutrisi dan pasien immuno#compromi,ed dapat terjadi bakteremia. Selain it dapat terjadi kolitis hemoragik dan sindrom hemolitik uremik (S%-). S%- diduga akibat adanya penyerapan enterotoksin yang diproduksi oleh Shigella. Infeksi Shigella menimbulkan imunitas humoral yang protektif untuk spesies yang sama. Gejala Klinis Masa tunas berkisar antara . jam sampai . hari. Pada dasarnya gejala klinis Shigellosis ber"ariasi. /ama gejala rerata . hari pada orang de!asa, namun dapat berlangsung sampai 0 minggu. 1isentri basiler yang tidak diobati dengan baik dan berlangsung lama gejalanya menyerupai kolitis ulserosa. Pada fase a!al pasien mengeluh nyeri perut ba!ah, rasa panas rektal, diare disertai demam yang bisa mencapai 0234. Selanjutnya diare berkurang tetapi tinja masih mengandung darah dan lendir, tenesmus, dan nafsu makan menurun. Pada anak# anak mungkin didapatkan demam tinggi dengan atau tanpa kejang, delirium, nyeri kepala, kaku kuduk, dan letargi. Penyebab pasca#infeksi pada infeksi pada umumnya berlangsung kurang dari 0 minggu. $alaupun jarang terjadi telah dilaporkan adanya pengidap Shigella yang mengeluarkan kuman bersama feses selama bertahun. Pengidap kronik tersebut biasanya sembuh sendiri, dan dapat mengalami gejala shigellosis yang intermiten. Diagnosis Perlu dicurigai adanya shigellosis pada pasien yang datang dengan keluhan nyeri abdomen ba!ah, rasa panas rektal, dan diare. Pemeriksaan mikroskopik tinja menunjukkan adanya eritrosit dan leikosit PMN. -ntuk memastikan diagnosis dilakukan kultur dari bahan tinja segar atau hapus rektal. Sigmoidoskopi dapat memastikan diagnosis adanya kolitis, namun pemeriksaan itu pada umumnya tidak diperlukan, karena menyebabkan pasien merasa sangat tidak nyaman. Indikasi untuk melakukan sigmoidoskopi adalah bila segera diperlukan kepastian diagnosis apakah gejala yang terjadi merupakan disentri\natau manifestasi akut kolitis ulserosa idiopatik. 1alam keadaan itu biopsi harus dikerjakan dalam !aktu 0 hari dari gejala. Pada fase akut infeksi Shigella, tes serologi tidak bermanfaat. Pada disentri subakut gejala klinis serupa dengan kolitis ulserosa. 1emikian pula pemeriksaan barium enema, sigmoidoskopi dan histopatologi juga tidak dapat membedakannya. Perbedaan utama adalah kultur Shigella yang positif dan perbaikan klinis yang bermakna setelah pengobatan dengan antibiotik yang adekuat. Diagnosis Banding # Salmonellosis # Sindrom diare karena enterotoksin (. coli # olera # olitis ulserosa Komplikasi omplikasi yang terjadi dapat berupa komplikasi intestinal dan ekstraintestinal. omplikasi intestinal biasanya berupa megakolon toksik, perforasi intestinal, dehidrasi, renjatan hipo"olemik dan malnutrisi. Sedangkan komplikasi ekstratraitestinal yang telah dilaporkan cukup banyak, di antaranya adalah batuk, pilek, pneumonia, meningimus, kejang, neuropati perifer, sindrom hemolitik uremik, trombositopenia, reaksi leukemoid dan artritis (sindrom 5eiter). Penatalaksanaan *. Mengatasi gangguan keseimbangan cairan dan elektrolit +. 6ntibiotik eputusan pengguanaan antibiotik sepenuhnya berdasarkan beratnya penyakit, yaitu pasien dengan gejala disentri sedang sampai berat dan diare persisten. &eberapa jenis antibiotik yang dianjurkan7 # ampisilin 0' 822 mg9hari atau # kotrimoksa,ol +' + tablet9 hari atau # tetrasiklin 0' 822 mg9hari selama 8 hari :. Narkotik dan deri"atnya %indari obat yang dapat menghambat motilitas usus seperti narkotika dan deri"atnya, karena dapat mengurangi eliminasi bakteri dan mempro"okasi terjadinya megakolon toksik. 0. Pengobatan simtomatik\n(&uku 6jar Ilmu Penyakit 1alam ;ilid II (disi etiga, (d. Suyono, Slamet, &alai Penerbit < -I, ;akarta7+22*) 14. ". "". """. "3. 3. 3". mel"l"( 3"". : 3""". : : b"la ob'(r*k'" (" &&"$ m* (a# #eba( ber'".a( pro%ek("l !e &a b"la ob'(r*k'" re !a# $ m* (a# b"a'a %a ("mb*l 'e'*!a# !"'(e '" *'*' %a & ,ela' 'ekal". M* (a# ("!ak pro%ek("l !a pemer"k'aaa ."'"k "le*' $ I 'pek'"$ (erl"#a( ,ela' pa!a 'aa( pe !er"(a me !apa( 'era &a kol"k %a"(* A*'k*l(a'"$ (er!e &ar b"'"' & *'*' %a & ka'ar !a me " &&" 5bor&or%&m" !a Palpa'"$ ra'a %er" ab!ome %a & #eba(7 ber'".a( me e(ap7 mak" lama berba* H.e+*le (I7 /ar a +a"ra +a"ra m* (a# %a & !"a& o'"' "le*' ob'(r*k'" "le*' !"(a !a" !e &a &ambara kl" "k$ %er" ab!ome ber'".a( kol"k !a ("!ak me ,alar m* (a# !e#"!ra'" ob'("pa'" !"'(e '" " (e'(" al pa!a 'aa( !a(a & 'era &a 7 b"a'a %a !"'er(a" pera'aa per*( %a &\nber/ar a ke#",a*a .\nm* (a# ke+okla(a . ". : ". : ". : mak" #eba(. Ta !a D"'(e '" ab!ome !e &a b* %" ("mpa " !a #"perak(".7 b"'" & *'*' +epa( N%er" kol"k %a & ber'amaa !e &a per"'(al("k %a & 'emak" +epa(\n!arm +o (o*r9 !arm '(e".* &.\nme(all"+ 'o* !6\npemer"k'aa ra!"olo&% pe &*mp*la &a' !alam l*me *'*' %a & melebar7 pe ebala\nbeberapa (a !a ra!"olo&"k %a & k#a' * (*k ob'(r*k'" "le*'7 a!ala# $ 3al3*lae +o 3" (e' %a & member" &ambara ."'# bo e appeara +e. Pe &*mp*la +a"ra 7 !e &a &ambara k#a' a"r:.l*!!e le3el. Pa!a ob'(r*k'" %a & +*k*p lama7beberapa a"r .l*"!e le3el member"ka &ambara U (erbal"k. 5dr. *iko Mana& dan dr. +. ,artadinata- Cerm" D* "a Ke!ok(era No. )97 19837 #((p///.kalbe.arma.+om."le'+!k."le'41JOb'(r*k'"Ile*'.p!.41JOb'(r*k'"I le*'.#(ml.#(m6 Ile*' a!" am"k T"!ak (er!apa( 'ak"( per*( Ha %a ra'a ("!ak %ama %a & !"("mb*lka ole# !"'(e '" M* (a# me &a !* & &e(a# lamb* & !a empe!*7 am* ,ara & &ecu!ent N%er" per*( berkemba & b"la kemb* & ber(amba# para# Kea!aa %a & me %er(a" "le*' $ Kela" a me(abol"k 'eper("7 *rem"a7 #"pokalem"a a(a* a'"!o'"'. Harr"'o ' Pr" +"ple' o. " (er al me!"+" e711 (# e!"("o G IKA Nel'o 3ol*me ) e!"'" 10. Laboratorium$ Te' !ara#$ Le*ko'"(o'"' 7!e &a '#".( (o (#e le.(. "ndoskopi$ ="ka a!a !*&aa ob'(r*k'" lamb* & .oto rontgen Pa!a .o(o polo' ab!ome me * ,*kka ba %ak ba(a' +a"ra F *!ara !"!alam ab!ome . B"a'a %a ("!ak me * ,*kka kemb* & %a & pro&re'". ("!ak 'eper(" pa!a ob'(r*k'" meka "k. Pencitraan radio!ogi dengan kontras /$arium enema0 Me * ,*kka &eraka lamba( bar"*m melal*" l*me %a & pa(e . Harr"'o ' Pr" +"ple' o. " (er al me!"+" e711 (# e!"("o G IKA Nel'o 3ol*me ) e!"'" 10G A( a &la +e me!"+" e pa(r"+k Da3e% 7 )440\nDokumen Serupa dengan Modul 8 Lbm 3 Berak Lendir.kamis.print\nLainnya Dari chacha1203\nCONTOH KONSULTASI sbar.docx\nSoal Uji Tulis Ppi\n03. Tata Tertib Peserta\nBhima Iqra Kasl\nContoh Surat Lamaran Dan Pernyataan Cpns 2018\n2. KONSEP HAIS PPI DASAR.ppt\njadwal test kesehatan(1).pdf\nDr Koes Medi\nnurma aulia margana


Neuchâtel, Verger-Rond 06:24 - Neuchâtel, Av. des Cadolles 06:25 - Neuchâtel, Acacias 06:26 - Neuchâtel, Porte-des-Acacias 06:26 - Neuchâtel, Pierre-à-Bot 06:27 - Neuchâtel, Trois-Chênes 06:28\nNFB 109 06:32 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 06:32 - Neuchâtel, Plan 06:33 - Neuchâtel, Pierre-qui-Roule 06:33 - Neuchâtel, Ermitage 06:34 • Neuchâtel, Rocher 06:36 - Neuchâtel, gare (Nord) 06:37 - Neuchâtel, Rochettes 06:38 - Neuchâtel, Terreaux Muséum 06:38 - Neuchâtel, St-Honoré 06:39 - Neuchâtel, Place Pury 06:41\nNFB 109 06:54 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 06:54 - Neuchâtel, Av. des Cadolles 06:55 - Neuchâtel, Acacias 06:56 - Neuchâtel, Porte-des-Acacias 06:56 - Neuchâtel, Pierre-à-Bot 06:57 - Neuchâtel, Trois-Chênes 06:58\nNFB 109 07:02 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 07:02 - Neuchâtel, Plan 07:03 - Neuchâtel, Pierre-qui-Roule 07:03 - Neuchâtel, Ermitage 07:04 • Neuchâtel, Rocher 07:06 - Neuchâtel, gare (Nord) 07:07 - Neuchâtel, Rochettes 07:08 - Neuchâtel, Terreaux Muséum 07:08 - Neuchâtel, St-Honoré 07:09 - Neuchâtel, Place Pury 07:11\nNeuchâtel, Verger-Rond 07:24 - Neuchâtel, Av. des Cadolles 07:25 - Neuchâtel, Acacias 07:26 - Neuchâtel, Porte-des-Acacias 07:26 - Neuchâtel, Pierre-à-Bot 07:27 - Neuchâtel, Trois-Chênes 07:28\nNFB 109 07:32 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 07:32 - Neuchâtel, Plan 07:33 - Neuchâtel, Pierre-qui-Roule 07:33 - Neuchâtel, Ermitage 07:34 • Neuchâtel, Rocher 07:36 - Neuchâtel, gare (Nord) 07:37 - Neuchâtel, Rochettes 07:38 - Neuchâtel, Terreaux Muséum 07:38 - Neuchâtel, St-Honoré 07:39 - Neuchâtel, Place Pury 07:41\nNFB 109 07:54 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 07:54 - Neuchâtel, Av. des Cadolles 07:55 - Neuchâtel, Acacias 07:56 - Neuchâtel, Porte-des-Acacias 07:56 - Neuchâtel, Pierre-à-Bot 07:57 - Neuchâtel, Trois-Chênes 07:58\nNFB 109 08:02 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 08:02 - Neuchâtel, Plan 08:03 - Neuchâtel, Pierre-qui-Roule 08:03 - Neuchâtel, Ermitage 08:04 • Neuchâtel, Rocher 08:06 - Neuchâtel, gare (Nord) 08:07 - Neuchâtel, Rochettes 08:08 - Neuchâtel, Terreaux Muséum 08:08 - Neuchâtel, St-Honoré 08:09 - Neuchâtel, Place Pury 08:11\nNFB 109 08:08 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 08:08 - Neuchâtel, Av. des Cadolles 08:09 - Neuchâtel, Acacias 08:10 - Neuchâtel, Porte-des-Acacias 08:10 - Neuchâtel, Pierre-à-Bot 08:11 - Neuchâtel, Trois-Chênes 08:12\nNFB 109 08:21 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 08:21 - Neuchâtel, Plan 08:22 - Neuchâtel, Pierre-qui-Roule 08:22 - Neuchâtel, Ermitage 08:23 • Neuchâtel, Rocher 08:25 - Neuchâtel, gare (Nord) 08:26 - Neuchâtel, Rochettes 08:27 - Neuchâtel, Terreaux Muséum 08:27 - Neuchâtel, St-Honoré 08:28 - Neuchâtel, Place Pury 08:30\nNFB 109 08:29 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 08:29 - Neuchâtel, Av. des Cadolles 08:29 - Neuchâtel, Acacias 08:30 - Neuchâtel, Porte-des-Acacias 08:31 - Neuchâtel, Pierre-à-Bot 08:31 - Neuchâtel, Trois-Chênes 08:33\nNFB 109 08:41 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 08:41 - Neuchâtel, Plan 08:42 - Neuchâtel, Pierre-qui-Roule 08:42 - Neuchâtel, Ermitage 08:43 • Neuchâtel, Rocher 08:45 - Neuchâtel, gare (Nord) 08:46 - Neuchâtel, Rochettes 08:47 - Neuchâtel, Terreaux Muséum 08:47 - Neuchâtel, St-Honoré 08:48 - Neuchâtel, Place Pury 08:50\nNFB 109 08:49 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 08:49 - Neuchâtel, Av. des Cadolles 08:49 - Neuchâtel, Acacias 08:50 - Neuchâtel, Porte-des-Acacias 08:51 - Neuchâtel, Pierre-à-Bot 08:51 - Neuchâtel, Trois-Chênes 08:53\nNFB 109 09:01 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 09:01 - Neuchâtel, Plan 09:02 - Neuchâtel, Pierre-qui-Roule 09:02 - Neuchâtel, Ermitage 09:03 • Neuchâtel, Rocher 09:05 - Neuchâtel, gare (Nord) 09:06 - Neuchâtel, Rochettes 09:07 - Neuchâtel, Terreaux Muséum 09:07 - Neuchâtel, St-Honoré 09:08 - Neuchâtel, Place Pury 09:10\nNFB 109 09:09 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 09:09 - Neuchâtel, Av. des Cadolles 09:09 - Neuchâtel, Acacias 09:10 - Neuchâtel, Porte-des-Acacias 09:11 - Neuchâtel, Pierre-à-Bot 09:11 - Neuchâtel, Trois-Chênes 09:13\nNFB 109 09:21 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 09:21 - Neuchâtel, Plan 09:22 - Neuchâtel, Pierre-qui-Roule 09:22 - Neuchâtel, Ermitage 09:23 • Neuchâtel, Rocher 09:25 - Neuchâtel, gare (Nord) 09:26 - Neuchâtel, Rochettes 09:27 - Neuchâtel, Terreaux Muséum 09:27 - Neuchâtel, St-Honoré 09:28 - Neuchâtel, Place Pury 09:30\nNFB 109 09:29 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 09:29 - Neuchâtel, Av. des Cadolles 09:29 - Neuchâtel, Acacias 09:30 - Neuchâtel, Porte-des-Acacias 09:31 - Neuchâtel, Pierre-à-Bot 09:31 - Neuchâtel, Trois-Chênes 09:33\nNFB 421 09:40 Savagnier, Petit-Savagnier\nNeuchâtel, Verger-Rond 09:40 - Neuchâtel, Av. des Cadolles 09:41 - Neuchâtel, Acacias 09:42 - Neuchâtel, Porte-des-Acacias 09:42 • Neuchâtel, Pierre-à-Bot 09:43 - Neuchâtel, Trois-Chênes 09:44 - Neuchâtel, Stand 09:45 - Fenin 09:47 - Vilars NE 09:49 - Savagnier, Petit-Savagnier 09:56\nNFB 109 09:41 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 09:41 - Neuchâtel, Plan 09:42 - Neuchâtel, Pierre-qui-Roule 09:42 - Neuchâtel, Ermitage 09:43 • Neuchâtel, Rocher 09:45 - Neuchâtel, gare (Nord) 09:46 - Neuchâtel, Rochettes 09:47 - Neuchâtel, Terreaux Muséum 09:47 - Neuchâtel, St-Honoré 09:48 - Neuchâtel, Place Pury 09:50\nNFB 109 09:49 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 09:49 - Neuchâtel, Av. des Cadolles 09:49 - Neuchâtel, Acacias 09:50 - Neuchâtel, Porte-des-Acacias 09:51 - Neuchâtel, Pierre-à-Bot 09:51 - Neuchâtel, Trois-Chênes 09:53\nNFB 109 10:01 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 10:01 - Neuchâtel, Plan 10:02 - Neuchâtel, Pierre-qui-Roule 10:02 - Neuchâtel, Ermitage 10:03 • Neuchâtel, Rocher 10:05 - Neuchâtel, gare (Nord) 10:06 - Neuchâtel, Rochettes 10:07 - Neuchâtel, Terreaux Muséum 10:07 - Neuchâtel, St-Honoré 10:08 - Neuchâtel, Place Pury 10:10\nNFB 109 10:09 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 10:09 - Neuchâtel, Av. des Cadolles 10:09 - Neuchâtel, Acacias 10:10 - Neuchâtel, Porte-des-Acacias 10:11 - Neuchâtel, Pierre-à-Bot 10:11 - Neuchâtel, Trois-Chênes 10:13\nNeuchâtel, Verger-Rond 10:16 - Neuchâtel, Plan 10:16 - Neuchâtel, Pierre-qui-Roule 10:17 - Neuchâtel, Rocher 10:18 - Neuchâtel, gare (Nord) 10:20 - Neuchâtel, Rochettes 10:20 - Neuchâtel, Terreaux Muséum 10:21 - Neuchâtel, St-Honoré 10:21 - Neuchâtel, Place Pury 10:24\nNFB 109 10:21 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 10:21 - Neuchâtel, Plan 10:22 - Neuchâtel, Pierre-qui-Roule 10:22 - Neuchâtel, Ermitage 10:23 • Neuchâtel, Rocher 10:25 - Neuchâtel, gare (Nord) 10:26 - Neuchâtel, Rochettes 10:27 - Neuchâtel, Terreaux Muséum 10:27 - Neuchâtel, St-Honoré 10:28 - Neuchâtel, Place Pury 10:30\nNFB 109 10:29 Neuchâtel, Trois-Chênes\nNeuchâtel, Verger-Rond 10:29 - Neuchâtel, Av. des Cadolles 10:29 - Neuchâtel, Acacias 10:30 - Neuchâtel, Porte-des-Acacias 10:31 - Neuchâtel, Pierre-à-Bot 10:31 - Neuchâtel, Trois-Chênes 10:33\nNFB 109 10:41 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 10:41 - Neuchâtel, Plan 10:42 - Neuchâtel, Pierre-qui-Roule 10:42 - Neuchâtel, Ermitage 10:43 • Neuchâtel, Rocher 10:45 - Neuchâtel, gare (Nord) 10:46 - Neuchâtel, Rochettes 10:47 - Neuchâtel, Terreaux Muséum 10:47 - Neuchâtel, St-Honoré 10:48 - Neuchâtel, Place Pury 10:50\nNeuchâtel, Verger-Rond 10:49 - Neuchâtel, Av. des Cadolles 10:49 - Neuchâtel, Acacias 10:50 - Neuchâtel, Porte-des-Acacias 10:51 - Neuchâtel, Pierre-à-Bot 10:51 - Neuchâtel, Trois-Chênes 10:53\nNeuchâtel, Verger-Rond 11:01 - Neuchâtel, Plan 11:02 - Neuchâtel, Pierre-qui-Roule 11:02 - Neuchâtel, Ermitage 11:03 • Neuchâtel, Rocher 11:05 - Neuchâtel, gare (Nord) 11:06 - Neuchâtel, Rochettes 11:07 - Neuchâtel, Terreaux Muséum 11:07 - Neuchâtel, St-Honoré 11:08 - Neuchâtel, Place Pury 11:10\nNeuchâtel, Verger-Rond 11:09 - Neuchâtel, Av. des Cadolles 11:09 - Neuchâtel, Acacias 11:10 - Neuchâtel, Porte-des-Acacias 11:11 - Neuchâtel, Pierre-à-Bot 11:11 - Neuchâtel, Trois-Chênes 11:13\nNeuchâtel, Verger-Rond 11:21 - Neuchâtel, Plan 11:22 - Neuchâtel, Pierre-qui-Roule 11:22 - Neuchâtel, Ermitage 11:23 • Neuchâtel, Rocher 11:25 - Neuchâtel, gare (Nord) 11:26 - Neuchâtel, Rochettes 11:27 - Neuchâtel, Terreaux Muséum 11:27 - Neuchâtel, St-Honoré 11:28 - Neuchâtel, Place Pury 11:30\nNeuchâtel, Verger-Rond 11:29 - Neuchâtel, Av. des Cadolles 11:29 - Neuchâtel, Acacias 11:30 - Neuchâtel, Porte-des-Acacias 11:31 - Neuchâtel, Pierre-à-Bot 11:31 - Neuchâtel, Trois-Chênes 11:33\nNeuchâtel, Verger-Rond 11:41 - Neuchâtel, Plan 11:42 - Neuchâtel, Pierre-qui-Roule 11:42 - Neuchâtel, Ermitage 11:43 • Neuchâtel, Rocher 11:45 - Neuchâtel, gare (Nord) 11:46 - Neuchâtel, Rochettes 11:47 - Neuchâtel, Terreaux Muséum 11:47 - Neuchâtel, St-Honoré 11:48 - Neuchâtel, Place Pury 11:50\nNeuchâtel, Verger-Rond 11:49 - Neuchâtel, Av. des Cadolles 11:49 - Neuchâtel, Acacias 11:50 - Neuchâtel, Porte-des-Acacias 11:51 - Neuchâtel, Pierre-à-Bot 11:51 - Neuchâtel, Trois-Chênes 11:53\nNeuchâtel, Verger-Rond 12:01 - Neuchâtel, Plan 12:02 - Neuchâtel, Pierre-qui-Roule 12:02 - Neuchâtel, Ermitage 12:03 • Neuchâtel, Rocher 12:05 - Neuchâtel, gare (Nord) 12:06 - Neuchâtel, Rochettes 12:07 - Neuchâtel, Terreaux Muséum 12:07 - Neuchâtel, St-Honoré 12:08 - Neuchâtel, Place Pury 12:10\nNeuchâtel, Verger-Rond 12:09 - Neuchâtel, Av. des Cadolles 12:09 - Neuchâtel, Acacias 12:10 - Neuchâtel, Porte-des-Acacias 12:11 - Neuchâtel, Pierre-à-Bot 12:11 - Neuchâtel, Trois-Chênes 12:13\nNeuchâtel, Verger-Rond 12:21 - Neuchâtel, Plan 12:22 - Neuchâtel, Pierre-qui-Roule 12:22 - Neuchâtel, Ermitage 12:23 • Neuchâtel, Rocher 12:25 - Neuchâtel, gare (Nord) 12:26 - Neuchâtel, Rochettes 12:27 - Neuchâtel, Terreaux Muséum 12:27 - Neuchâtel, St-Honoré 12:28 - Neuchâtel, Place Pury 12:30\nNeuchâtel, Verger-Rond 12:29 - Neuchâtel, Av. des Cadolles 12:29 - Neuchâtel, Acacias 12:30 - Neuchâtel, Porte-des-Acacias 12:31 - Neuchâtel, Pierre-à-Bot 12:31 - Neuchâtel, Trois-Chênes 12:33\nNFB 421 12:40 Savagnier, Petit-Savagnier\nNeuchâtel, Verger-Rond 12:40 - Neuchâtel, Av. des Cadolles 12:41 - Neuchâtel, Acacias 12:42 - Neuchâtel, Porte-des-Acacias 12:42 • Neuchâtel, Pierre-à-Bot 12:43 - Neuchâtel, Trois-Chênes 12:44 - Neuchâtel, Stand 12:45 - Fenin 12:47 - Vilars NE 12:49 - Savagnier, Petit-Savagnier 12:56\nNeuchâtel, Verger-Rond 12:41 - Neuchâtel, Plan 12:42 - Neuchâtel, Pierre-qui-Roule 12:42 - Neuchâtel, Ermitage 12:43 • Neuchâtel, Rocher 12:45 - Neuchâtel, gare (Nord) 12:46 - Neuchâtel, Rochettes 12:47 - Neuchâtel, Terreaux Muséum 12:47 - Neuchâtel, St-Honoré 12:48 - Neuchâtel, Place Pury 12:50\nNeuchâtel, Verger-Rond 12:49 - Neuchâtel, Av. des Cadolles 12:49 - Neuchâtel, Acacias 12:50 - Neuchâtel, Porte-des-Acacias 12:51 - Neuchâtel, Pierre-à-Bot 12:51 - Neuchâtel, Trois-Chênes 12:53\nNeuchâtel, Verger-Rond 13:01 - Neuchâtel, Plan 13:02 - Neuchâtel, Pierre-qui-Roule 13:02 - Neuchâtel, Ermitage 13:03 • Neuchâtel, Rocher 13:05 - Neuchâtel, gare (Nord) 13:06 - Neuchâtel, Rochettes 13:07 - Neuchâtel, Terreaux Muséum 13:07 - Neuchâtel, St-Honoré 13:08 - Neuchâtel, Place Pury 13:10\nNeuchâtel, Verger-Rond 13:09 - Neuchâtel, Av. des Cadolles 13:09 - Neuchâtel, Acacias 13:10 - Neuchâtel, Porte-des-Acacias 13:11 - Neuchâtel, Pierre-à-Bot 13:11 - Neuchâtel, Trois-Chênes 13:13\nNeuchâtel, Verger-Rond 13:16 - Neuchâtel, Plan 13:16 - Neuchâtel, Pierre-qui-Roule 13:17 - Neuchâtel, Rocher 13:18 - Neuchâtel, gare (Nord) 13:20 - Neuchâtel, Rochettes 13:20 - Neuchâtel, Terreaux Muséum 13:21 - Neuchâtel, St-Honoré 13:21 - Neuchâtel, Place Pury 13:24\nNeuchâtel, Verger-Rond 13:21 - Neuchâtel, Plan 13:22 - Neuchâtel, Pierre-qui-Roule 13:22 - Neuchâtel, Ermitage 13:23 • Neuchâtel, Rocher 13:25 - Neuchâtel, gare (Nord) 13:26 - Neuchâtel, Rochettes 13:27 - Neuchâtel, Terreaux Muséum 13:27 - Neuchâtel, St-Honoré 13:28 - Neuchâtel, Place Pury 13:30\nNeuchâtel, Verger-Rond 13:29 - Neuchâtel, Av. des Cadolles 13:29 - Neuchâtel, Acacias 13:30 - Neuchâtel, Porte-des-Acacias 13:31 - Neuchâtel, Pierre-à-Bot 13:31 - Neuchâtel, Trois-Chênes 13:33\nNeuchâtel, Verger-Rond 13:41 - Neuchâtel, Plan 13:42 - Neuchâtel, Pierre-qui-Roule 13:42 - Neuchâtel, Ermitage 13:43 • Neuchâtel, Rocher 13:45 - Neuchâtel, gare (Nord) 13:46 - Neuchâtel, Rochettes 13:47 - Neuchâtel, Terreaux Muséum 13:47 - Neuchâtel, St-Honoré 13:48 - Neuchâtel, Place Pury 13:50\nNeuchâtel, Verger-Rond 13:49 - Neuchâtel, Av. des Cadolles 13:49 - Neuchâtel, Acacias 13:50 - Neuchâtel, Porte-des-Acacias 13:51 - Neuchâtel, Pierre-à-Bot 13:51 - Neuchâtel, Trois-Chênes 13:53\nNeuchâtel, Verger-Rond 14:01 - Neuchâtel, Plan 14:02 - Neuchâtel, Pierre-qui-Roule 14:02 - Neuchâtel, Ermitage 14:03 • Neuchâtel, Rocher 14:05 - Neuchâtel, gare (Nord) 14:06 - Neuchâtel, Rochettes 14:07 - Neuchâtel, Terreaux Muséum 14:07 - Neuchâtel, St-Honoré 14:08 - Neuchâtel, Place Pury 14:10\nNeuchâtel, Verger-Rond 14:09 - Neuchâtel, Av. des Cadolles 14:09 - Neuchâtel, Acacias 14:10 - Neuchâtel, Porte-des-Acacias 14:11 - Neuchâtel, Pierre-à-Bot 14:11 - Neuchâtel, Trois-Chênes 14:13\nNeuchâtel, Verger-Rond 14:21 - Neuchâtel, Plan 14:22 - Neuchâtel, Pierre-qui-Roule 14:22 - Neuchâtel, Ermitage 14:23 • Neuchâtel, Rocher 14:25 - Neuchâtel, gare (Nord) 14:26 - Neuchâtel, Rochettes 14:27 - Neuchâtel, Terreaux Muséum 14:27 - Neuchâtel, St-Honoré 14:28 - Neuchâtel, Place Pury 14:30\nNeuchâtel, Verger-Rond 14:29 - Neuchâtel, Av. des Cadolles 14:29 - Neuchâtel, Acacias 14:30 - Neuchâtel, Porte-des-Acacias 14:31 - Neuchâtel, Pierre-à-Bot 14:31 - Neuchâtel, Trois-Chênes 14:33\nNeuchâtel, Verger-Rond 14:41 - Neuchâtel, Plan 14:42 - Neuchâtel, Pierre-qui-Roule 14:42 - Neuchâtel, Ermitage 14:43 • Neuchâtel, Rocher 14:45 - Neuchâtel, gare (Nord) 14:46 - Neuchâtel, Rochettes 14:47 - Neuchâtel, Terreaux Muséum 14:47 - Neuchâtel, St-Honoré 14:48 - Neuchâtel, Place Pury 14:50\nNeuchâtel, Verger-Rond 14:49 - Neuchâtel, Av. des Cadolles 14:49 - Neuchâtel, Acacias 14:50 - Neuchâtel, Porte-des-Acacias 14:51 - Neuchâtel, Pierre-à-Bot 14:51 - Neuchâtel, Trois-Chênes 14:53\nNeuchâtel, Verger-Rond 15:01 - Neuchâtel, Plan 15:02 - Neuchâtel, Pierre-qui-Roule 15:02 - Neuchâtel, Ermitage 15:03 • Neuchâtel, Rocher 15:05 - Neuchâtel, gare (Nord) 15:06 - Neuchâtel, Rochettes 15:07 - Neuchâtel, Terreaux Muséum 15:07 - Neuchâtel, St-Honoré 15:08 - Neuchâtel, Place Pury 15:10\nNeuchâtel, Verger-Rond 15:09 - Neuchâtel, Av. des Cadolles 15:09 - Neuchâtel, Acacias 15:10 - Neuchâtel, Porte-des-Acacias 15:11 - Neuchâtel, Pierre-à-Bot 15:11 - Neuchâtel, Trois-Chênes 15:13\nNeuchâtel, Verger-Rond 15:21 - Neuchâtel, Plan 15:22 - Neuchâtel, Pierre-qui-Roule 15:22 - Neuchâtel, Ermitage 15:23 • Neuchâtel, Rocher 15:25 - Neuchâtel, gare (Nord) 15:26 - Neuchâtel, Rochettes 15:27 - Neuchâtel, Terreaux Muséum 15:27 - Neuchâtel, St-Honoré 15:28 - Neuchâtel, Place Pury 15:30\nNeuchâtel, Verger-Rond 15:29 - Neuchâtel, Av. des Cadolles 15:29 - Neuchâtel, Acacias 15:30 - Neuchâtel, Porte-des-Acacias 15:31 - Neuchâtel, Pierre-à-Bot 15:31 - Neuchâtel, Trois-Chênes 15:33\nNeuchâtel, Verger-Rond 15:41 - Neuchâtel, Plan 15:42 - Neuchâtel, Pierre-qui-Roule 15:42 - Neuchâtel, Ermitage 15:43 • Neuchâtel, Rocher 15:45 - Neuchâtel, gare (Nord) 15:46 - Neuchâtel, Rochettes 15:47 - Neuchâtel, Terreaux Muséum 15:47 - Neuchâtel, St-Honoré 15:48 - Neuchâtel, Place Pury 15:50\nNeuchâtel, Verger-Rond 15:49 - Neuchâtel, Av. des Cadolles 15:49 - Neuchâtel, Acacias 15:50 - Neuchâtel, Porte-des-Acacias 15:51 - Neuchâtel, Pierre-à-Bot 15:51 - Neuchâtel, Trois-Chênes 15:53\nNeuchâtel, Verger-Rond 16:01 - Neuchâtel, Plan 16:02 - Neuchâtel, Pierre-qui-Roule 16:02 - Neuchâtel, Ermitage 16:03 • Neuchâtel, Rocher 16:05 - Neuchâtel, gare (Nord) 16:06 - Neuchâtel, Rochettes 16:07 - Neuchâtel, Terreaux Muséum 16:07 - Neuchâtel, St-Honoré 16:08 - Neuchâtel, Place Pury 16:10\nNeuchâtel, Verger-Rond 16:09 - Neuchâtel, Av. des Cadolles 16:09 - Neuchâtel, Acacias 16:10 - Neuchâtel, Porte-des-Acacias 16:11 - Neuchâtel, Pierre-à-Bot 16:11 - Neuchâtel, Trois-Chênes 16:13\nNeuchâtel, Verger-Rond 16:16 - Neuchâtel, Plan 16:16 - Neuchâtel, Pierre-qui-Roule 16:17 - Neuchâtel, Rocher 16:18 - Neuchâtel, gare (Nord) 16:20 - Neuchâtel, Rochettes 16:20 - Neuchâtel, Terreaux Muséum 16:21 - Neuchâtel, St-Honoré 16:21 - Neuchâtel, Place Pury 16:24\nNeuchâtel, Verger-Rond 16:21 - Neuchâtel, Plan 16:22 - Neuchâtel, Pierre-qui-Roule 16:22 - Neuchâtel, Ermitage 16:23 • Neuchâtel, Rocher 16:25 - Neuchâtel, gare (Nord) 16:26 - Neuchâtel, Rochettes 16:27 - Neuchâtel, Terreaux Muséum 16:27 - Neuchâtel, St-Honoré 16:28 - Neuchâtel, Place Pury 16:30\nNeuchâtel, Verger-Rond 16:29 - Neuchâtel, Av. des Cadolles 16:29 - Neuchâtel, Acacias 16:30 - Neuchâtel, Porte-des-Acacias 16:31 - Neuchâtel, Pierre-à-Bot 16:31 - Neuchâtel, Trois-Chênes 16:33\nNFB 421 16:40 Savagnier, Petit-Savagnier\nNeuchâtel, Verger-Rond 16:40 - Neuchâtel, Av. des Cadolles 16:41 - Neuchâtel, Acacias 16:42 - Neuchâtel, Porte-des-Acacias 16:42 • Neuchâtel, Pierre-à-Bot 16:43 - Neuchâtel, Trois-Chênes 16:44 - Neuchâtel, Stand 16:45 - Fenin 16:47 - Vilars NE 16:49 - Savagnier, Petit-Savagnier 16:56\nNeuchâtel, Verger-Rond 16:41 - Neuchâtel, Plan 16:42 - Neuchâtel, Pierre-qui-Roule 16:42 - Neuchâtel, Ermitage 16:43 • Neuchâtel, Rocher 16:45 - Neuchâtel, gare (Nord) 16:46 - Neuchâtel, Rochettes 16:47 - Neuchâtel, Terreaux Muséum 16:47 - Neuchâtel, St-Honoré 16:48 - Neuchâtel, Place Pury 16:50\nNeuchâtel, Verger-Rond 16:49 - Neuchâtel, Av. des Cadolles 16:49 - Neuchâtel, Acacias 16:50 - Neuchâtel, Porte-des-Acacias 16:51 - Neuchâtel, Pierre-à-Bot 16:51 - Neuchâtel, Trois-Chênes 16:53\nNeuchâtel, Verger-Rond 17:01 - Neuchâtel, Plan 17:02 - Neuchâtel, Pierre-qui-Roule 17:02 - Neuchâtel, Ermitage 17:03 • Neuchâtel, Rocher 17:05 - Neuchâtel, gare (Nord) 17:06 - Neuchâtel, Rochettes 17:07 - Neuchâtel, Terreaux Muséum 17:07 - Neuchâtel, St-Honoré 17:08 - Neuchâtel, Place Pury 17:10\nNeuchâtel, Verger-Rond 17:09 - Neuchâtel, Av. des Cadolles 17:09 - Neuchâtel, Acacias 17:10 - Neuchâtel, Porte-des-Acacias 17:11 - Neuchâtel, Pierre-à-Bot 17:11 - Neuchâtel, Trois-Chênes 17:13\nNFB 421 17:16 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 17:16 - Neuchâtel, Plan 17:16 - Neuchâtel, Pierre-qui-Roule 17:17 - Neuchâtel, Rocher 17:18 - Neuchâtel, gare (Nord) 17:20 - Neuchâtel, Rochettes 17:20 - Neuchâtel, Terreaux Muséum 17:21 - Neuchâtel, St-Honoré 17:21 - Neuchâtel, Place Pury 17:24\nNeuchâtel, Verger-Rond 17:21 - Neuchâtel, Plan 17:22 - Neuchâtel, Pierre-qui-Roule 17:22 - Neuchâtel, Ermitage 17:23 • Neuchâtel, Rocher 17:25 - Neuchâtel, gare (Nord) 17:26 - Neuchâtel, Rochettes 17:27 - Neuchâtel, Terreaux Muséum 17:27 - Neuchâtel, St-Honoré 17:28 - Neuchâtel, Place Pury 17:30\nNeuchâtel, Verger-Rond 17:29 - Neuchâtel, Av. des Cadolles 17:29 - Neuchâtel, Acacias 17:30 - Neuchâtel, Porte-des-Acacias 17:31 - Neuchâtel, Pierre-à-Bot 17:31 - Neuchâtel, Trois-Chênes 17:33\nNFB 421 17:40 Cernier, centre\nNeuchâtel, Verger-Rond 17:40 - Neuchâtel, Av. des Cadolles 17:41 - Neuchâtel, Acacias 17:42 - Neuchâtel, Porte-des-Acacias 17:42 • Neuchâtel, Trois-Chênes 17:44 - Chézard-St-Martin, St-Martin 17:59 - Chézard-St-Martin, Rebatte 18:00 - Chézard-St-Martin,Petit-Chézar 18:00 - Chézard-St-Martin,Grand-Chézar 18:01 - Cernier, centre 18:05\nNeuchâtel, Verger-Rond 17:41 - Neuchâtel, Plan 17:42 - Neuchâtel, Pierre-qui-Roule 17:42 - Neuchâtel, Ermitage 17:43 • Neuchâtel, Rocher 17:45 - Neuchâtel, gare (Nord) 17:46 - Neuchâtel, Rochettes 17:47 - Neuchâtel, Terreaux Muséum 17:47 - Neuchâtel, St-Honoré 17:48 - Neuchâtel, Place Pury 17:50\nNeuchâtel, Verger-Rond 17:49 - Neuchâtel, Av. des Cadolles 17:49 - Neuchâtel, Acacias 17:50 - Neuchâtel, Porte-des-Acacias 17:51 - Neuchâtel, Pierre-à-Bot 17:51 - Neuchâtel, Trois-Chênes 17:53\nNeuchâtel, Verger-Rond 18:01 - Neuchâtel, Plan 18:02 - Neuchâtel, Pierre-qui-Roule 18:02 - Neuchâtel, Ermitage 18:03 • Neuchâtel, Rocher 18:05 - Neuchâtel, gare (Nord) 18:06 - Neuchâtel, Rochettes 18:07 - Neuchâtel, Terreaux Muséum 18:07 - Neuchâtel, St-Honoré 18:08 - Neuchâtel, Place Pury 18:10\nNeuchâtel, Verger-Rond 18:09 - Neuchâtel, Av. des Cadolles 18:09 - Neuchâtel, Acacias 18:10 - Neuchâtel, Porte-des-Acacias 18:11 - Neuchâtel, Pierre-à-Bot 18:11 - Neuchâtel, Trois-Chênes 18:13\nNeuchâtel, Verger-Rond 18:21 - Neuchâtel, Plan 18:22 - Neuchâtel, Pierre-qui-Roule 18:22 - Neuchâtel, Ermitage 18:23 • Neuchâtel, Rocher 18:25 - Neuchâtel, gare (Nord) 18:26 - Neuchâtel, Rochettes 18:27 - Neuchâtel, Terreaux Muséum 18:27 - Neuchâtel, St-Honoré 18:28 - Neuchâtel, Place Pury 18:30\nNeuchâtel, Verger-Rond 18:29 - Neuchâtel, Av. des Cadolles 18:29 - Neuchâtel, Acacias 18:30 - Neuchâtel, Porte-des-Acacias 18:31 - Neuchâtel, Pierre-à-Bot 18:31 - Neuchâtel, Trois-Chênes 18:33\nNeuchâtel, Verger-Rond 18:41 - Neuchâtel, Plan 18:42 - Neuchâtel, Pierre-qui-Roule 18:42 - Neuchâtel, Ermitage 18:43 • Neuchâtel, Rocher 18:45 - Neuchâtel, gare (Nord) 18:46 - Neuchâtel, Rochettes 18:47 - Neuchâtel, Terreaux Muséum 18:47 - Neuchâtel, St-Honoré 18:48 - Neuchâtel, Place Pury 18:50\nNeuchâtel, Verger-Rond 18:49 - Neuchâtel, Av. des Cadolles 18:49 - Neuchâtel, Acacias 18:50 - Neuchâtel, Porte-des-Acacias 18:51 - Neuchâtel, Pierre-à-Bot 18:51 - Neuchâtel, Trois-Chênes 18:53\nNeuchâtel, Verger-Rond 19:01 - Neuchâtel, Plan 19:02 - Neuchâtel, Pierre-qui-Roule 19:02 - Neuchâtel, Ermitage 19:03 • Neuchâtel, Rocher 19:05 - Neuchâtel, gare (Nord) 19:06 - Neuchâtel, Rochettes 19:07 - Neuchâtel, Terreaux Muséum 19:07 - Neuchâtel, St-Honoré 19:08 - Neuchâtel, Place Pury 19:10\nNeuchâtel, Verger-Rond 19:09 - Neuchâtel, Av. des Cadolles 19:09 - Neuchâtel, Acacias 19:10 - Neuchâtel, Porte-des-Acacias 19:11 - Neuchâtel, Pierre-à-Bot 19:11 - Neuchâtel, Trois-Chênes 19:13\nNeuchâtel, Verger-Rond 19:16 - Neuchâtel, Plan 19:16 - Neuchâtel, Pierre-qui-Roule 19:17 - Neuchâtel, Rocher 19:18 - Neuchâtel, gare (Nord) 19:20 - Neuchâtel, Rochettes 19:20 - Neuchâtel, Terreaux Muséum 19:21 - Neuchâtel, St-Honoré 19:21 - Neuchâtel, Place Pury 19:24\nNeuchâtel, Verger-Rond 19:21 - Neuchâtel, Plan 19:22 - Neuchâtel, Pierre-qui-Roule 19:22 - Neuchâtel, Ermitage 19:23 • Neuchâtel, Rocher 19:25 - Neuchâtel, gare (Nord) 19:26 - Neuchâtel, Rochettes 19:27 - Neuchâtel, Terreaux Muséum 19:27 - Neuchâtel, St-Honoré 19:28 - Neuchâtel, Place Pury 19:30\nNeuchâtel, Verger-Rond 19:29 - Neuchâtel, Av. des Cadolles 19:29 - Neuchâtel, Acacias 19:30 - Neuchâtel, Porte-des-Acacias 19:31 - Neuchâtel, Pierre-à-Bot 19:31 - Neuchâtel, Trois-Chênes 19:33\nNFB 421 19:40 Cernier, centre\nNeuchâtel, Verger-Rond 19:40 - Neuchâtel, Av. des Cadolles 19:41 - Neuchâtel, Acacias 19:42 - Neuchâtel, Porte-des-Acacias 19:42 • Neuchâtel, Trois-Chênes 19:44 - Chézard-St-Martin, St-Martin 19:59 - Chézard-St-Martin, Rebatte 20:00 - Chézard-St-Martin,Petit-Chézar 20:00 - Chézard-St-Martin,Grand-Chézar 20:01 - Cernier, centre 20:05\nNeuchâtel, Verger-Rond 19:41 - Neuchâtel, Plan 19:42 - Neuchâtel, Pierre-qui-Roule 19:42 - Neuchâtel, Ermitage 19:43 • Neuchâtel, Rocher 19:45 - Neuchâtel, gare (Nord) 19:46 - Neuchâtel, Rochettes 19:47 - Neuchâtel, Terreaux Muséum 19:47 - Neuchâtel, St-Honoré 19:48 - Neuchâtel, Place Pury 19:50\nNeuchâtel, Verger-Rond 19:49 - Neuchâtel, Av. des Cadolles 19:49 - Neuchâtel, Acacias 19:50 - Neuchâtel, Porte-des-Acacias 19:51 - Neuchâtel, Pierre-à-Bot 19:51 - Neuchâtel, Trois-Chênes 19:53\nNeuchâtel, Verger-Rond 20:01 - Neuchâtel, Plan 20:02 - Neuchâtel, Pierre-qui-Roule 20:02 - Neuchâtel, Ermitage 20:03 • Neuchâtel, Rocher 20:05 - Neuchâtel, gare (Nord) 20:06 - Neuchâtel, Rochettes 20:07 - Neuchâtel, Terreaux Muséum 20:07 - Neuchâtel, St-Honoré 20:08 - Neuchâtel, Place Pury 20:10\nNeuchâtel, Verger-Rond 20:09 - Neuchâtel, Av. des Cadolles 20:09 - Neuchâtel, Acacias 20:10 - Neuchâtel, Porte-des-Acacias 20:11 - Neuchâtel, Pierre-à-Bot 20:11 - Neuchâtel, Trois-Chênes 20:13\nNeuchâtel, Verger-Rond 20:21 - Neuchâtel, Plan 20:22 - Neuchâtel, Pierre-qui-Roule 20:22 - Neuchâtel, Ermitage 20:23 • Neuchâtel, Rocher 20:25 - Neuchâtel, gare (Nord) 20:26 - Neuchâtel, Rochettes 20:27 - Neuchâtel, Terreaux Muséum 20:27 - Neuchâtel, St-Honoré 20:28 - Neuchâtel, Place Pury 20:30\nNeuchâtel, Verger-Rond 20:29 - Neuchâtel, Av. des Cadolles 20:29 - Neuchâtel, Acacias 20:30 - Neuchâtel, Porte-des-Acacias 20:31 - Neuchâtel, Pierre-à-Bot 20:31 - Neuchâtel, Trois-Chênes 20:33\nNeuchâtel, Verger-Rond 20:41 - Neuchâtel, Plan 20:42 - Neuchâtel, Pierre-qui-Roule 20:42 - Neuchâtel, Ermitage 20:43 • Neuchâtel, Rocher 20:45 - Neuchâtel, gare (Nord) 20:46 - Neuchâtel, Rochettes 20:47 - Neuchâtel, Terreaux Muséum 20:47 - Neuchâtel, St-Honoré 20:48 - Neuchâtel, Place Pury 20:50\nNeuchâtel, Verger-Rond 20:49 - Neuchâtel, Av. des Cadolles 20:49 - Neuchâtel, Acacias 20:50 - Neuchâtel, Porte-des-Acacias 20:51 - Neuchâtel, Pierre-à-Bot 20:51 - Neuchâtel, Trois-Chênes 20:53\nNeuchâtel, Verger-Rond 21:01 - Neuchâtel, Plan 21:02 - Neuchâtel, Pierre-qui-Roule 21:02 - Neuchâtel, Ermitage 21:03 • Neuchâtel, Rocher 21:05 - Neuchâtel, gare (Nord) 21:06 - Neuchâtel, Rochettes 21:07 - Neuchâtel, Terreaux Muséum 21:07 - Neuchâtel, St-Honoré 21:08 - Neuchâtel, Place Pury 21:10\nNeuchâtel, Verger-Rond 21:09 - Neuchâtel, Av. des Cadolles 21:09 - Neuchâtel, Acacias 21:10 - Neuchâtel, Porte-des-Acacias 21:11 - Neuchâtel, Pierre-à-Bot 21:11 - Neuchâtel, Trois-Chênes 21:13\nNFB 421 21:16 Neuchâtel, Place Pury\nNeuchâtel, Verger-Rond 21:16 - Neuchâtel, Plan 21:16 - Neuchâtel, Pierre-qui-Roule 21:17 - Neuchâtel, Rocher 21:18 - Neuchâtel, gare (Nord) 21:20 - Neuchâtel, Rochettes 21:20 - Neuchâtel, Terreaux Muséum 21:21 - Neuchâtel, St-Honoré 21:21 - Neuchâtel, Place Pury 21:24


1\t CVE-2021-25315 303 Exec Code 2021-03-03 2021-03-10\n2\t CVE-2021-3200 120 DoS Overflow 2021-05-18 2021-06-03\n3\t CVE-2020-26934 79 XSS 2020-10-10 2021-01-28\n4\t CVE-2020-26164 400 DoS 2020-10-07 2021-01-26\n5\t CVE-2020-25601 400 DoS 2020-09-23 2021-07-21\n6\t CVE-2020-25600 119 DoS Overflow 2020-09-23 2021-07-21\n7\t CVE-2020-24654 59 2020-09-02 2021-01-11\n8\t CVE-2020-24553 79 XSS 2020-09-02 2021-09-16\n9\t CVE-2020-16166 200 +Info 2020-07-30 2021-07-21\n10\t CVE-2020-16116 22 Dir. Trav. 2020-08-03 2020-08-24\n11\t CVE-2020-16007 20 2020-11-03 2021-07-21\n12\t CVE-2020-15999 787 Overflow 2020-11-03 2021-02-11\n13\t CVE-2020-15989 665 +Info 2020-11-03 2021-07-21\n14\t CVE-2020-15986 416 Overflow 2020-11-03 2021-07-21\n15\t CVE-2020-15985 2020-11-03 2021-02-24\n16\t CVE-2020-15984 2020-11-03 2021-03-11\n17\t CVE-2020-15983 20 Bypass 2020-11-03 2021-03-11\n18\t CVE-2020-15982 +Info 2020-11-03 2021-03-11\n19\t CVE-2020-15981 125 +Info 2020-11-03 2021-03-11\n20\t CVE-2020-15980 Bypass 2020-11-03 2021-03-11\n21\t CVE-2020-15977 20 +Info 2020-11-03 2021-03-05\n22\t CVE-2020-15973 Bypass 2020-11-03 2021-03-11\n23\t CVE-2020-15966 +Info 2020-09-21 2021-03-04\n24\t CVE-2020-15959 +Info 2020-09-21 2021-01-30\n25\t CVE-2020-15811 444 Http R.Spl. Bypass 2020-09-02 2021-03-04\n26\t CVE-2020-15707 362 Exec Code Overflow Bypass 2020-07-29 2021-09-13\n27\t CVE-2020-15705 347 Bypass 2020-07-29 2021-09-21\n28\t CVE-2020-15586 362 2020-07-17 2021-06-14\n29\t CVE-2020-15209 476 2020-09-25 2021-09-16\n30\t CVE-2020-15192 20 2020-09-25 2021-11-18\n31\t CVE-2020-14797 2020-10-21 2021-02-24\n32\t CVE-2020-14782 2020-10-21 2021-02-24\n33\t CVE-2020-14781 2020-10-21 2021-02-24\n34\t CVE-2020-14779 DoS 2020-10-21 2021-03-08\n35\t CVE-2020-14713 2020-07-15 2021-02-16\n36\t CVE-2020-14711 2020-07-15 2021-09-08\n37\t CVE-2020-14704 908 2020-07-15 2021-02-16\n38\t CVE-2020-14703 908 2020-07-15 2021-02-16\n39\t CVE-2020-14700 125 2020-07-15 2021-02-16\n40\t CVE-2020-14699 191 2020-07-15 2021-02-16\n41\t CVE-2020-14698 125 2020-07-15 2021-02-16\n42\t CVE-2020-14695 125 2020-07-15 2021-02-16\n43\t CVE-2020-14694 125 2020-07-15 2021-02-16\n44\t CVE-2020-14677 367 2020-07-15 2021-02-19\n45\t CVE-2020-14676 125 2020-07-15 2021-02-19\n46\t CVE-2020-14675 367 2020-07-15 2021-02-19\n47\t CVE-2020-14674 367 2020-07-15 2021-02-22\n48\t CVE-2020-14673 2020-07-15 2021-02-16\n49\t CVE-2020-14650 2020-07-15 2021-02-16\n50\t CVE-2020-14649 2020-07-15 2021-02-17


Hollister-Sweat-Femme Des Prix Incroyables, Hollister-Sweat-Femme 100% Guranteed De Qualité, Hollister-Sweat-Femme Styles Dernier Cri\nSweat Abercrombie and Fitch Femme SAFF88,hollister et abercrombie,playlist...\nSweat Abercrombie and Fitch Femme SAFF205,hollister chemise,doudoune...\nSweat Abercrombie and Fitch Femme SAFF64,hollister soldes,hollister...\nSweat Abercrombie and Fitch Femme SAFF213,hollister outlet,acheter...\nSweat Abercrombie and Fitch Femme SAFF214,vente hollister,chemise...\nSweat Abercrombie and Fitch Femme SAFF99,commande hollister,doudoune...\nSweat Abercrombie and Fitch Femme SAFF210,tee shirt hollister,veste...\nSweat Abercrombie and Fitch Femme SAFF72,hollister en france,vente...\nSweat Abercrombie and Fitch Femme SAFF169,hollister co france,vetements...\nSweat Abercrombie and Fitch Femme SAFF96,frais de port hollister,vetement...


NEW 2011 TRD bilstein coilovers with 2" spacer. | Tacoma World\nQuick Links: ISO A TACOMA ROOF RACK PIAA 510 ATP pattern WTB Subwoofer AMP FS/FT: Scangauge II/27W LED squares FS: Salex Center Console Organizer Gentex homelink mirror\nDiscussion in '2nd Gen Tacoma Parts Marketplace (2005-2015)' started by JHulse, Feb 4, 2012.\nJHulse [OP] New Member\nJHulse, Feb 4, 2012\nFeb 5, 2012 at 3:18 AM\nFeb 5, 2012 at 3:26 AM\nJHulse, Feb 5, 2012\nFeb 5, 2012 at 7:57 PM\nnafterclifen, Feb 5, 2012\nsorry for my delayed response, with work school I don't have time to ship them. I'd prefer local pick up.\nJHulse, Feb 8, 2012\n89Vision Active Member\n89Vision, Feb 14, 2012


AFRRI- French Armed Forces Biomedical Research Institute - Current Radiological and Nuclear research at the Institute for Military Biomedical Research (IRBA)\nApril 17, 2018 - 9:30am to 10:30am\nThe Armed Forces Radiobiology Research Institute (AFRRI) invites you to the upcoming 2 part seminar entitled: I. Current Radiological and Nuclear research at the Institute for Military Biomedical Research (IRBA) Presented by: Brigadier General Michel Drouet French Armed Forces Biomedical Research Institute II. Actuality in cell therapy approaches to treat cutaneous radiation syndrome Presented by: Major Diane Riccobono French Armed Forces Biomedical Research Institute


Words containing letter "ed" - Words containing ed syllable - Word finder\nWords containing letter "ed"\n#ed aed bed ced ded ed- ed. eda edb edc edd ede edf edg edh edi edj edk edl edm edn edo edp edr eds edt edu edw edx edy eed fed ged hed ied jed ked led med ned oed ped qed red sed ted ued ved wed xed yed zed\n.edu /.ed abed aced aede aedt aged ahed ajed aked aled amed aped ared awed axed azed baed beda bede bedi bedl bedo beds bedu beed bied bled bred bsed byed cced ceda cedd cede cedi cedo cedt cedu cedy ched cled coed cred cued deda dedd dede dedi dedo dedu deed died djed dqed dred dted dxed dyed ebed edac edad edag edah edam edan edar edas edaw edax eday edca edd. edda eddc edde eddi eddm eddo eddp edds eddy ede- edea edeh edei edel edem eden eder edes edex edfa edfl edfu edge edgy edhi edhs edia edie edif edik edil edin edip edis edit edjo edla edle edma edme edms edna ednl edno edns edny edoc edod edom edon edos edou edra edrm edrn edru eds. edsa edss edta edts edtv educ edun edur edve edwi edwy edxl edys eede eedu eied eked eled ened exed eyed ezed feda fede fedi fedn feds fedz feed fled foed fred gaed geda gedd gede gedi gedo geds gedu gedy geed gied gled goed haed heda hedd hede hedg hedi hedp heds hedy hedz heed hied hoed hsed hued iced ided iedm iedr ieds ihed iied iled imed ined ired jeda jedi jedp jeed joed kbed kced keda kedb kedc kedd kede kedg kedi kedj kedm kedo kedp kedr keds kedt kedy keed kged khed kked kled kmed kned koed kqed kred ksed kted kued kwed kxed leda lede ledi ledo leds ledt leed lied lued lyed mbed meda medb medd mede medi medo meds medu meed mged moed mred msed mued nced neda nedc nedd nede nedi nedo neds nedu nedy need nged nied noed obed oced oded oedn oedo oeds ohed oked oled oned oped ored osed oted oued owed pbed ped- peda pede pedf pedi pedo peds peed pied pled poed pred pued pyed qued raed red! reda redc redd rede redh redi redl redo redq redr reds redu redy reed ried roed rred rued seda sede sedo seed shed sied sked sled smed sned sped sted sued swed teda tedd tede tedi teds tedy teed thed tied tmed toed tped tred ueda uned uped ured used uzed veda vedc vede vedi vedo vied vred vsed vyed waed wbed wced wded weda wedb wedc wedd wede wedg wedh wedi wedj wedm wedn wedo wedr weds wedt wedu wedw wedy weed wfed whed wied wled wmed wned woed wqed wred x-ed yedd yede yedi yedo yeed yfed yhed ysed yued yzed zedd zede zedi zedo zeds zmed\n.aeda 3toed aahed aamed abbed abede abedi abedo abeed abled abyed acced acedb acedo acedy ached acned acred acted added adeed adzed aedas aedes aedia aedon aedpa aedui aered afeda afede afeed agued ahhed ahmed aided ailed aimed ained aired akeda aksed aleda aledo aloed alred ameed amped anded aneda aneed anred anted aoede apede apied apted arbed arced arede aredo areds aredy areed arfed arled armed arsed arted aseed ashed asked asred assed ateed atled atred aveda awede awned awwed axled b.ed. baaed baeda baedi bahed baked baled baned bared based bated bayed bbqed bebed bedab bedad bedaf bedag bedan bedar bedaw bedda bedde beddy bedee bedel beden beder bedes bedet bedew bedia bedid bedim bedin bedip bedle bedof bedog bedok bedot bedow bedri bedse bedub bedug beduk bedum bedye beede beedi beled bered besed bewed bided bieda biked biled biped bited bleda bledd blede bleed blued boded boedo boled boned booed bored bowed boxed braed breda bredd brede bredi bredt breed brued bseed bumed bused buyed byred cabed caded caged caked camed caned caped cared cased caved cawed cedac cedar cedda ceddo ceded cedel cedem ceder cedes cedex cedia cedie cedis cedor cedr- cedra cedre cedro cedry cedyr ceede ceedo cered chaed chedi cited cleed clued co-ed coded coeds coged coked comed coned cooed coped cored coted coved cowed coxed coyed cozed crede credi credo creds creed cried crked cshed cubed cured cyred daded daled dared dased dated dawed dayed dazed debed dedaj dedal dedan dedde dedee deden deder dedes dedic dedie dedin dedir dedit dedlu dedly dedun dedur dedut dedye dedyn dedza deede deedi deeds deedy deked deled dered desed dewed dhedh diced diked dimed dined dired dived doced doled domed doped dosed doted dowed doxed dozed dredd drede dredg dreds dreed dried duded duked duned duped dured duved dyfed dyked e-med eaned eared eased eated eaved ebbed ecsed edacs edaid edain edale edams edana edane edano edans edaps edasi edate edati edava edcon eddas edder eddha eddic eddie eddir eddit eddoe eddos eddre eddsa eddys edeka edeko edels edema eden* edens edeo- edera edern eders edesa edfor edgar edgcm edged edgel edger edges edgie edguy edhem edhil edial edict edidi edies edifi edify edigu edile edina edisa edise edit. edita edith edito edits edius edive edixa edlab edlau edlen edler edlin edlut edlyn edman edmed edmod ednam ednas edney edocr edoes edoey edolo edoni edoor edops edosa edott edrag edram edran edred edrom edroy edsby edsel edson edtmp edu-k eduba educ. educe educo educt edule edvac edvin edwin edwit edwyn edy's edyma edyta


Sneaker Homme Nike Air Jordan 5 Retro Raging – Amazingdeal4you\nSneaker Homme Nike Air Jordan 5 Retro Raging\n减少 Sneaker Homme Nike Air Jordan 5 Retro Raging 的数量\n增加 Sneaker Homme Nike Air Jordan 5 Retro Raging 的数量\nSneaker Homme Nike Air Jordan 5 Retro Raging 2021\nSneaker Homme Nike Air Jordan 5 Retro Raging est le yin, vers votre yang. Vous avez trouvez ce que vous recherchiez.\nhttps://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging 6569695412326 Sneaker Homme Nike Air Jordan 5 Retro Raging 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3_large.jpg?v=1619711204 EUR InStock Sneaker Homme 261889917030 男子 260695228518 男士运动鞋 99931553892 数字商品增值税\namazing deal 4 you NIKE //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-2_2000x_900x_726b27ff-398a-4e8c-bd67-1b6f60d8e97d.jpg?v=1619711204 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-3_2000x_900x_8717d943-78d2-4682-89b7-59981f1833f5.jpg?v=1619711204 39313311563878 US 4=Eur 36 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311563878 InStock US 4=Eur 36 Multicolore 39313311596646 US 4,5=Eur 36,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311596646 InStock US 4,5=Eur 36,5 Multicolore 39313311629414 US 5=Eur 37,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311629414 InStock US 5=Eur 37,5 Multicolore 39313311662182 US 5,5=Eur 38 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311662182 InStock US 5,5=Eur 38 Multicolore 39313311694950 US 6=Eur38,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311694950 InStock US 6=Eur38,5 Multicolore 39313311727718 US 6,5=Eur39 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311727718 InStock US 6,5=Eur39 Multicolore 39313311760486 US 7=Eur 40 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311760486 InStock US 7=Eur 40 Multicolore 39313311793254 US 7,5=Eur 40,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311793254 InStock US 7,5=Eur 40,5 Multicolore 39313311826022 US 8=Eur 41 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311826022 InStock US 8=Eur 41 Multicolore 39313311858790 US 8,5=Eur 42 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311858790 InStock US 8,5=Eur 42 Multicolore 39313311891558 US 9=Eur 42,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311891558 InStock US 9=Eur 42,5 Multicolore 39313311924326 US 9,5=Eur 43 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311924326 InStock US 9,5=Eur 43 Multicolore 39313311957094 US 10= Eur 44 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311957094 InStock US 10= Eur 44 Multicolore 39313311989862 US 10,5=Eur 44,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313311989862 InStock US 10,5=Eur 44,5 Multicolore 39313312022630 US 11=Eur 45 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313312022630 InStock US 11=Eur 45 Multicolore 39313312055398 US 11,5=Eur 45,5 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313312055398 InStock US 11,5=Eur 45,5 Multicolore 39313312088166 US 12=46 / Multicolore 320,00 320,00 //cdn.shopify.com/s/files/1/0153/5688/7140/products/Wethenew-Sneakers-France-Air-Jordan-5-Raging-Bulls-DD0587-600-1_2000x_900x_d4c21979-78e1-41ab-ab10-e9f97bf7a5f3.jpg?v=1619711204 https://amazingdeal4you.com/zh/products/sneaker-homme-nike-air-jordan-5-retro-raging?variant=39313312088166 InStock US 12=46 Multicolore


Tractor Equipment & Parts New & Used in Vancouver, WA - 3 Vancouver Listings - EYP\nWashington Yellow Pages > Vancouver Yellow Pages > Construction & Industrial & Heavy Equip > Tractor Equipment & Parts > Tractor Equipment & Parts New & Used in Vancouver\nTractor Equipment & Parts New & Used in Vancouver, Washington\n3415 S Truman Rd\n3415 S Truman Rd Washougal WA 98671\n3801 NE 109th Ave Ste C\nWestern Washington Tractor\nWe offer 3 local business listings for Tractor Equipment & Parts New & Used in Washougal, Vancouver, and Woodland. Find local Vancouver Tractor Equipment & Parts New & Used in zip code 98682. We also feature local business listings for Tractor Equipment & Parts New & Used in Washougal 98671 and Woodland 98674.


Cómo se escribe urga o hurga - Falta h\n¿Cómo se escribe urga?\nHay varias causas por las que puede estar mal escrita urga, a continuación se muestran las distintas posibilidades:\nA la palabra urga le falta una H\nLa palabra urga no existe en Español\nLa palabra urga contien hache. La manera correcta de escribirla es HURGA\nLa palabra urga se escribe con J\nPalabras con urgab\nPalabras con urgad\nPalabras con urgan\nPalabras con urgar\nPalabras con urgas\nPalabras con urge\nPalabras con urgen\nPalabras con urges