PENYIMPANGAN KDM OSTEOSARKOMA

Radiasi, virus onkogenik, keturunan  

Metapisi tulang

                                                                                                           Sel tumor menginvasi jaringan lunak                                                                merangsang   histamin

                                                                                                       Respon osteolitik & osteoblastik                                                                          saraf simpatis            

                                                                                                            Destruksi tulang lokal                                                                                                                                                                                                                                              peristaltik usus                                                                

                                                                                                  Penimbunan periosteum tulang baru                                                                                                                                                                                                                                          distensi lambung

                                                                                                      Pertumbuhan tulang abosrtif ( kanker )                                                                                                                                                                                                                                    anoreksia, energi turun

Nutrisi kurang dari kebutuhan tubuh

Osteosarkoma

Menekan jaringan sekitar

Tumbuh 2x lebih cepat

Pembedahan penambahan massa tulang

                                              Kerusakan muskuloskeletal                                       Amputasi

Risiko infeksi

Hambatan mobilitas fisik

                                                                                                                                 Luka terbuka

Nyeri infeksi                               

	Gangguan rasa nyaman nyeri

 

         Takut gerak

Risikio kerusakan integritas kulit

Terjadi penekanan lama pada daerah tertentu