Studi Kasus Gout Topus Poliartikular: Motivasi Hidup Penderita GTP

Abstract

Kasus GTP yang diangkat melaporkan tentang seorang Bapak bernama DK. Kasus DK diangkat karena meskipun DK memiliki kondisi GTP hingga menyebabkan deformitas pada bagian tubuh yaitu kaki dan tangan, DK masih memiliki motivasi hidup yang kuat, aktif untuk mengikuti kegiatan sosial serta memiliki pandangan positif terkait penyakitnya. DK pertama kali menderita asam urat pada usia 22 tahun dan berkembang menjadi GTP pada usia 30 tahun. Topus DK muncul di sendi-sendi kaki dan tangan hingga mengalami deformitas. Pada 7 tahun lalu topus DK pecah dan DK secara mandiri merawat lukanya karena dalam pengakuannya DK harus berpindah dari satu rumah sakit ke rumah sakit lain tanpa penanganan. Pengobatan yang dilakukan DK adalah mengonsumsi allopurinol, dexamethasone, dan piroxicam. Hasil pemeriksaan kimia klinis DK menunjukkan bahwa asam urat dan tekanan darah DK tinggi sedangkan kadar HDL rendah. Sejak sakit GTP, DK hanya konsumsi sayur bayam dan kangkung satu bulan sekali serta tidak mengonsumsi daging sapi. DK lebih sering konsumsi ikan-ikanan. DK saat ini telah berhenti konsumsi alkohol namun masih merokok. DK masih aktif untuk mengikuti kegiatan sosial seperti pergi beribadah hingga membuat sepatu khusus agar tetap dapat ke gereja. DK memiliki persepsi yang positif, beliau memiliki harapan untuk dapat sembuh dan dapat bekerja. Sang isteri mengurus DK ketika sedang masuk rumah sakit dengan membersihkan badan DK agar dapat beristirahat dengan nyaman. Warga Tara Tara Lingkungan 3 turut mengajak DK dalam kegiatan seperti gotong royong.

The GTP case raised reports on a man named DK. DK's case was raised because even though DK has a GTP condition that causes deformities in the body parts, namely legs and hands, DK still has a strong motivation to live, is active in participating in social activities and has a positive view of his disease. DK first suffered from gout at the age of 22 and developed GTP at the age of 30. DK's topus appeared on the joints of the feet and hands until deformity. 7 years ago DK's topus ruptured and DK independently treated his wound because in his confession DK had to move from one hospital to another without treatment. DK's treatment is taking allopurinol, dexamethasone, and piroxicam. The results of DK's clinical chemistry showed that DK's uric acid and blood pressure were high while HDL levels were low. Since being sick with GTP, DK has only consumed spinach and kale once a month and does not consume beef. DK more often consumes fish. DK has stopped consuming alcohol but still smokes. DK is still active in participating in social activities such as going to church and making special shoes so he can still go to church. DK has a positive perception, he has hope to recover and be able to work. The wife took care of DK when he was hospitalized by cleaning DK's body so that he could rest comfortably. Residents of Tara Tara Lingkungan 3 also invite DK in activities such as mutual cooperation.