klp 4 trauma medulla spianlis.docx

7/26/2019 KLP 4 TRAUMA MEDULLA SPIANLIS.docx

1/23

TUGAS KMB III

DENGAN GANGGUAN SISTEM PERSARAFAN

TRAUMA MEDULLA SPINALIS

DISUSUN OLEH TINGKAT II B :

HASRIANI HARIFIN

HIDAYANTI

FATIMAH SYAM

NI MADE PRATIWI

RAHMITA SARI

UTAMI NUR ATIKAH

AKADEMI KEPERAWATAN MAPPA OUDANG MAKASSAR

2015 - 2016


2/23

TRAUMA MEDULLA SPINALIS

I. Konse Me!"sA. Definisi

Tra!a "a#a $%an& 'e%a(an& a#a%a) *e#era !en&enai

ser+i(a%is, +er$e'ra%is, #an %!'a%is a(i'a$ #ari sa$ $ra!a -an&

!en&enai $%an& 'e%a(an&. )air##in Ras/a# 012234 !ene&as(an

'a)5a se!a $ra!a $%an& 'e%a(an& )ars #ian&&a" sa$ $ra!a

-an& )e'a$, se)in&&a se/a( a5a% "er$6%6n&an "er$a!a #an$rans"6r$asi (e r!a) sa(i$ "en#eri$a )ars #i"er%a((an se*ar )a$i7

)a$i. Tra!a "a#a $%an& 'e%a(an& #a"a$ !en&enai /arin&an %na(

"a#a $%an& 'e%a(an&, -ai$ %i&a!en #an #is(s, $%an& 'e%a(an&

sen#iri, #an s!s! $%an& 'e%a(an& 0s"ina% *6r#4.

B. E$i6%6&i1. Ke*e%a(aan #i /a%an ra-a8. O%a)ra&a

9. Men-e%a! "a#a air -an& #an&(a%. Gan&&an %ain -an& #a"a$ !en-e'a'(an *e#era !e#%%a s"ina%is

se"er$i s"6n#i6%6sis ser+i(a% #en&an !ie%6"a$i -an& !en&)asi%(an

sa%ran se!"i$ #an !en&a(i'a$(an *e#era "r6&resif $er)a#a"

!e#%a s"ina%is #an a(ar, !ie%i$is a(i'a$ "r6ses inf%a!asi infe(si

!a"n n6n7infe(si, 6s$e6"6r6sis -an& #ise'a'(an 6%e) fra($r

(6!"resi "a#a +er$e'ra, sirin&!ie%ia, $!6r infi%$rasi !a"n

(6!"resi, #an "en-a(i$ +as(%ar.

. Ana$6!i #an Fisi6%6&iMe#%%a s"ina%is #an 'a$an& 6$a( !e!'en$( s$r($r (6n$in

-an& (e%ar #ari )e!isfer sere'ra% #an 'er$&as se'a&ai

"en&)'n& 6$a( #an saraf "erifer. Pan/an&n-a ra$a7ra$a ; *! #an

!eni"is "a#a /ari7/ari. Me#%%a s"ina%is -an& !e!an/an& #ari

f6ra!en !a&n! #i #asar $en&(6ra( sa!"ai 'a&ian a$as %!'a%

(e#a a#a%a) a(ar saraf. A(ar saraf -an& !e!an/an& !e%e'i)i (6ns

#an !en-er"ai e(6r (#a #ise'$ (a#a e(ina.


3/23

Me#%%a s"ian%is $erssn #ari 99 se&!en -ai$ 3 se&e!en

ser+i(a%, 18 se&!en $6ra(a%, ; se&!en sa(ra%, #an ; se&!en

(6(si&es. Me#%%a s"ina%is !e!"n-ai 91 "asan& saraf s"ina%,

!asin&7!asin& se&!en !e!"n-ai sa$ "er*a'an&an n$( se$ia"

sisi. Me#%%a s"ina%is $er#iri a$as s's$ansia &risea #an s's$ansia

a%'a. Di #a%a! s's$ansia &risea $er%e$a( #i #aera) es($erna% #an

s's$ansia a%'a "a#a 'a&ian in$erna%. Pa#a !e#%a s"ina%is,

s's$ansia &risea 'era#a #i 'a&ian $en&a), se#an&(an s's$ansia

a%'a !en&e%i%in&i s's$ansia &risea.

Me#%%a s"ina%is #i(e%i%in&i 6%e) !enin&en, #ra!a$er, ara()n6i#,

#an "ia!a$er. Di an$ara #ra!a$er #an (ana%is +er$e'ra%is $er#a"a$

ran& e"i#ra%. Me#%%a s"ina%is 'er'en$( s$r($r H #en&an 'a#an

se% saraf 0s's$ansia &risea4. Ba&ian 'a5a) -an& 'er'en$( H

!e%as #ari 'a&ian a$as #an 'ersa!aan !en/ 'a&ian $an#(

an$eri6r 0an$eri6r )6rn4. Tan#(7$an#( ini !er"a(an se%7se% -an&

!e!"n-ai sera'$7sera'$, -an& !e!'en$( /n& a(ar an$eri6r

0!6$6ri(4 #an 'erfn&si n$( a($i+i$as -an& #i#asari #an a($i+i$as

#ari 6$676$6$ -an& 'er)'n&an #en&an !e#%%a s"ina%is. Ba&ian

"6s$eri6r -an& $i"is !en&an#n& se%7se% 'er"a sera'$7sera'$

-an& !as( (e /n& a(ar "6s$eri6r #an (e!#ian 'er$in#a( se'a&ai

re%a- s$a$i6n #a%a! /aras a$a sens6ri(.Ba&ian $6ra(a% !e#%%a s"ina%is a#a%a) "r6-e(si #ari !asin&7

!asin& sisi #i 'a&ian *r6ss'ar H s's$ansia &risea -an& #ise'$

$an#( %a$era% 0%a$era% )6rn4 $an#( %a$era% !en&an#n& se%7se% -an&

!e!'eri(an rea(si sera'$ a$6n6! 'a&ain si!"a$is. Sera'$7

sera'$ ini !enin&&a%(an !e#%%a s"ina%is -an& esra #an $er'a&i

!en/a#i $i&a (e%6!"6( sera'$ -an& #ise'$ $ra($s a$a /aras.

Tra($s "6s$eri6r !en-a%r(an sensasi, "erse"si $er)a#a" sen$)an,

$e(anan, &e$aran, "6sisi, #an &era(an "asif 'a&ian7'a&ian $').

Se'e%! !en*a"ai #aera) (6r$e(s sere'ri, sera'$7sera'$ ini

!en-i%an& !en/ (e #aera) -an& 'er%a5anan "a#a !e#%%a

6'%6n&a$a.


4/23

D. Pa$6fisi6%6&ie#era !e#%%a s"ina%is (e'an-a(an $er/a#i se'a&ai a(i'a$

*e#era "a#a +er$e'ra. Me#%%a s"ina%is -an& !en&a%a!i *e#era

'iasan-a 'er)'n&an #en&an a(se%erasi, #ese%erasi, a$a (e%ainan

-an& #ia(i'a$(an 6%e) 'er'a&ai $e(anan -an& !en&enai $%an&


5/23

'e%a(an&. Te(anan *e#era "a#a !e#%%a s"ian%is !en&a%a!i

(6!"resi, a$a !er6'e( /arin&an. L6(asi *e#era !!n-a !en&enai

1 #an 8, ,


6/23

>i(a !e#%%a s"ina%is !en&a%a!i *e#era, !a(a saraf = saraf

-an& 'era#a "a#a #aera) -an& !en&a%a!i *e#era #an -an& -an& #i

'a5a)n-a a(an !en&a%a!i fn&si, -an& !en-e'a'(an )i%an&n-a

(6n$r6% 6$6$ #an /&a )i%an&n-a sensasi.

K%asifi(asi 'er#asar &an&&an fn&si #i'a5a) %esi ? *i#era #i'a&i :

1. i#era *6!"%e$e : (e)i%an&an sensasi #an fn&si !6$6ri( +6%n$er

se*ara $6$a%8. i#era in*6!"%e$e : (e)i%an&an sensasi #an fn&si !6$6ri(

+6%n$er se*ara se'a&ian

Hi%an&n-a (6n$r6% se'a&ian !en-e'a'(an $i!'%n-a (e%e!a)an

"a#a 6$6$ se#an&(an (6n$r6% 6$6$ -an& )i%an& se%r)n-a

!en-e'a'(an (e%!")an. Ke$i(a 6$6$ !en&a%a!i (e%!")an,

!a(a 6$6$ $erse'$ serin&(a%i (e)i%an&an $6ns 6$6$n-a se)in&&a

!en/a#i %e!as. Be'era"a !in&& (e!#ian, (e%!")an #a"a$

'er(e!'an& !en/a#i s"as!e 6$6$ in+6%n$er #an 'er%an&sn& %a!a.

Ge/a%a7&e/a%a #i'a5a) ini #a"a$ !n*% se'a&ian a$a se!an-a

$er&an$n& %6(asi $er/a#in-a *e#era :

1. Hi%an&n-a fn&si &era(8. Hi%an&n-a sensasi n$( !erasa(an "anas, #in&in #an sen$)an9. Hi%an&n-a (6n$r6% (an#n& (e!i). Ter/a#in-a s"as!e 6$6$;. Penrnan fn&si, sensi$ifi$as #an fer$i%i$as se(sa%


7/23

9. Pe!eri(saan MRI $er$a!a n$( !e%i)a$ /arin&an %na(, -ai$

#is(s in$er+er$e'ra%is #an %i&a!en f%a+! ser$a %esi #a%a!

s!s! $%an& 'e%a(an&.. Mie%6&rafi. Un$( !e!"er%i)a$(an (6%!na s"ina%is 0(ana%

+er$e'ra%4 /i(a fa($6r "a$6%6&isn-a $i#a( /e%as a$a #i*ri&ai

a#ann-a #i%si "a#a ran& s' ara()n6i# !e#%%a s"ina%is

0'iasan-a $i#a( a(an #i%a((an se$e%a) !en&a%a!i %(a "ene$rasi4.;. F6$6 r6n$&en $)6ra(s, !e!"er%i)a$(an (ea#an "ar 0*6n$6) :

"er'a)an "a#a #iafra&!a, a$e%e($asis4.


8/23

9. Fi(asi in$erna% e%e(if #i%a((an "a#a (%ien #en&an (e$i#a(s$a'i%an

$%an& 'e%a(an&, *i#era %i&ae!n $an"a $an"a fra($r, #ef6r!i$as

$%an& 'e%a(an& "r6&resif, *i#era -an& $a( #a"a$ #ire'#(si, #an

fra($r n6n7ni6n.. Tera"i s$er6i#, n6!i#i"in, a$a #6"a!ine n$( "er'ai(i a%iran

#ara) (6ra% s"ira%. D6sis $er$in&&i !e$i% "re#nis6%6n?'6%s a#a%a)

9!&?(&BB #ii($i ;, !&?(&BB?/a! n$( 89 /a! 'eri($n-a. Bi%a

#i'eri(an #a%a! 3 /a! se/a( *e#era a(an !e!"er'ai(i "e!%i)an

ner6%6&is. Gan&%i6si#a !n&(in /&a a(an !e!"er'ai(i

"e!%i)an se$e%a) *e#era (6ra% s"ira%.;. Peni%aian (ea#aan ner6%6&is se$ia" /a!, $er!as( "en&a!a$an

fn&si sens6ri(, !6$6ri(, #an "en$in& n$( !e%a*a( #efi*i$ -an&

"r6&resif a$a asen#en.


9/23

2. e#era s$a'i% #iser$ai #efi*i$ ner6%6&is. Bi%a fra($r s$a'i%,

(ersa(an ner6%6&is #ise'a'(an 6%e):a. Per&eseran -an& *(" 'esar -an& $er/a#i saa$ *e#era

!en-e'a'(an $ra!a %an&sn& $er)a#a" (6ra% s"ira% a$a

(ersa(an +as*%ar.'. T%an& 'e%a(an& -an& se'e$%n-a s#a) rsa( a(i'a$ "en-a(i$

se'e%!n-a se"er$i s"6n#i%i6sis ser+i(a%.*. Fra&!en $%an& a$a #is(s $er#6r6n& (e (ana% s"ira%.

1.Pen&e%6%aan (e%6!"6( ini $er&an$n& #era/a$ (ersa(an

ner6%6&is -an& $a!"a( "a#a saa$ "er$a!a (a%i #i"eri(sa :

a. Transe(si ner6%6&is %en&(a" $er'ai( #ira5a$ (6nser+a$if'. e#era #i #aera) ser+i(a%, %e)er #i !6'i%isasi #en&an (6%ar

a$a se"i$ 0(a"i%er4 #an #i 'eri !e$a% "re#nis6%6n.*. Pe!eri(saan "enn/an& MRI.#. e#era ner6%6&is $a( %en&(a" (6nser+a$if.e. Bi%a $er#a"a$ a$a #i#asari (ersa(an a#an-a s"6n#i%i6sis

ser+i(a%, $$ra(si $en&(6ra(, #an !e$a% "re#nis6%6n.f. Be#a) 'i%a s"6n#i%i6sis s#a) a#a se'e%!n-a.&. Bi%a $a( a#a "er'ai(an a$a a#a "er'ai(an $e$a"i (ea#aan

!e!'r( !a(a %a((an !ie%6&rafi.). e#era $%an& $a( s$a'i%.i. Bi%a %esin-a $6$a%, #i%a((an rea'#(si -an& #ii($i i!6'i%isasi.

Me%in#n&i i!6'iisasi se"er$i "ena!'a)an "era5a$an

"ara"%e&ia./. Bi%a #efisi$ ner6%6&is $a( %en&(a", #i%a((an rea'#(si, #ii($i

i!6'i%isasi n$( sesai /enis *e#eran-a.(. Bi%a #i"er%(an 6"erasi #e(6!"resi (ana% s"ira% #i%a((an

"a#a saa$ -an& sa!a.

%. e#era -an& !en-er$ai #an (6!"%i(asi:1. e#era !a-6r 'er"a *e#era (e"a%a a$a 6$a(, $6ra(s,

'er)'n&an #en&an 6!ina%, #an +as*%ar.8. e#era 'era$ -an& #a"a$ !en-e'a'(an (e!a$ian, as"irasi,

#an s-6(.


10/23


11/23

!e%i$s, "en-a(i$ /an$n&, ane!ia, "en&&naan 6'a$76'a$

an$i(6a&%an, as"irin, +as6#i%a$6r, 6'a$76'a$ a#(i$if, #an (6ns!si

a%(6)6% 'er%e'i)an.

. Ri5a-a$ "en-a(i$ (e%ar&aMen&(a/i a#an-a an&&6$a &enerasi $er#a)% -an& !en#eri$a

)i"er$ensi #an #ia'e$es !e%i$s.;. Pen&(a/ian "si(6s6si6s"iri$a%

Pen&(a/ian !e(anis!e (6"in& -an& #i&na(an (%ien n$( !eni%ai

res"6ns e!6si (%ien $er)a#a" "en-a(i$ -an& #i#eri$an-a #an

"er'a)an "eran (%ien #a%a! (e%ara&a #an !as-ara(a$ ser$ares"6ns a$a "en&ar)n-a #a%a! (e)i#"an se)ari7)arin-a, 'ai(

#a%a! (e%ar&a a$a"n #a%a! !as-ara(a$. A"a(a) a#a #a!"a(

-an& $i!'% "a#a (%ien -ai$ $i!'% se"er$i (e$a($an a(an

(e*a*a$an, rasa *e!as, rasa (e$i#a(!a!"an n$( !e%a((an

a($i+i$as se*ara 6"$i!a%, #an "an#an&an $er)a#a" #irin-a -an&

sa%a) 0&an&&an '6#- i!a&e4. A#an-a "er'a)an 'er"a

"ara%isis an&&6$a &era( 'a5a) !e!'eri(an !anifes$asi -an&

'er'e#a "a#a se$ia" (%ien -an& !en&a%a!i *e#era $%an&

'e%a(an&.e#era $%an& 'e%a(an& !e!er%(an 'ia-a n$( "e!eri(saan,

"en&6'a$an, #an "era5a$an #a"a$ !en&a*a(an (ean&an

(e%ar&a se)in&&a fa($6r 'ia-a ini #a"a$ !e!en&ar)i s$a'i%i$as

e!6si ser$a"i(iran (%ien #an (e%ar&a. Pera5a$ /&a !e!as((an

"en&a(/ian $er)a#a" fn&si ner6%6&is #en&an #a!"a( &an&&an

ner6%6&is -an& a(an $er/a#i "a#a &a-a )i#" in#i+i#. Persfe($if

(e"era5a$an #a%a! !en&(a/i $er#iri a$as #a !asa%a)

(e$er'a$asan -an& #ia(i'a$(an 6%e) #efisi$ ner6%6&is #a%a!

)'n&ann-a #en&an "eran s6sia% (%ien #an ren*ana "e%a-anan

-an& a(an !en#(n& a#a"$asi "a#a &an&&an ner6%6&is #i

#a%a! sis$e! #(n&an in#i+i#.


12/23

Pe!eri(saan fisi( se'ai(n-a #i%a((an se*ara "ersis$e! 0B17B


13/23

9. Per(si. A#an-a sara re#" sa!"ai "e(a( "a#a (ea#aan

!e%i'a$(an $ra!a "a#a $)6ra(s?)e!a$)6ra(s.. As(%$asi. Bn-i na"as $a!'a)an se"er$i na"as 'er'n-i,

s$ri#6r, r6n()i "a#a (%ien #en&an "enin&(a$an "r6#(si

se(re$ #ari (e!a!"an 'a$( -an& !enrn -an& serin&

#i#a"a$(an "a#a (%ien *e#era $%an& 'e%a(an& #en&an

"enrnan $in&(a$ (esa#aran (6!a.Pa#a (%ien *e#era $%an& 'e%a(an& #en&an fra($r #is%6(asi

+er$e'ra %!'a% #an "r6$rsi #is(s in$er+er$e'ra%is L7; #an S71

"e!eri(saan "a#a $)6ra(s #i#a"a$(an $a($i% "re!i$s sei!'an&(anan #an (iri. As(%$asi $i#a( #i#a"a$(an 'n-i na"as $a!'a)an.

*. B8 0B%66#4Pen&(a/ian "a#a sis$e! (ar#i6+as(%ar #i#a"a$(an ren/a$an

0s-6( )i"6+6%e!i(4 -an& serin& $er/a#i "a#a (%ien *e#era $%an&

'e%a(an& se#an& #an 'era$. Hasi% "e!eri(saan (ar#i6+as(%ar

(%ien *e#era $%an& 'e%a(an& "a#a 'e'era"a (ea#aan #a"a$

#i$e!(an $e(anan #ara) !enrn, na#i 'ra#i(ar#ia, 'er#e'ar7

#e'ar, "sin& saa$ !e%a((an "er'a)an "6sisi, 'ra#i(ar#ia

e(s$er!i$as #in&in a$a "*a$. Na#i 'ara#i(ar#ia !er"a(an

$an#a "er'a)an "erfsi /arin&an 6$a(. K%i$ "*a$ !enan#a(an

a#an-a "enrnan (a#ar )e!6&%6'in #a%a! #ara). Hi"6$ensi

!enan#a(an a#an-a "er'a)an "erfsi /arin&an #an $an#a7

$an#a a5a% #ari sa$ ren/a$an. Pa#a 'e'era"a (ea#aan %ain

a(i'a$ $ra!a (e"a%a a(an !eran&san& "e%e"asan )6r!6n

an$i#iere$i( -an& 'er#a!"a( "a#a (6!"ensasi $') n$(!e%a((an re$ensi a$a "en&e%aran &ara! #an air 6%e)

$'%s. Me(anis!e ini a(an !enin&(a$(an (6nsen$rasi

e%e($r6%i$ !enin&(a$ se)in&&a !e!'eri(an risi(6 $er/a#in-a

&an&&an (esei!'an&an *airan #an e%e($r6%i$ "a#a sis$e!

(ar#i6+as(%ar.

#. B9 0Brain4


14/23

Pen&(a/ian B9 0Brain4 !e%i"$i $in&(a$ (esa#aran, "en&(a/ian

fn&si sere'ra%, #an "en&(a/ian saraf (rania%.1. Pen&(a/ian Tin&(a$ Kesa#aran

Tin&(a$ (e$er/a&aan (%ien #an res"6ns $er)a#a" %in&(n&an

a#a%a) in#i(a$6r "a%in& sensi$if n$( #isfn&si sis$e!

"ersarafan. Be'era"a sis$e! #i&na(an n$( !e!'a$

"erin&(a$ "er'a)an #aa%! (e5as"a#aan #an (e$er/a&aan.

Pa#a (ea#aan %an/$ $in&(a$ (esa#aran (%ien *e#era $%an&

'e%a(an& 'iasan-a 'er(isar "a#a $in&(a$ %e$ar&i, s$"6r,

se!i(6!a$6sa sa!"ai (6!a.8. Pen&(a/ian fn&si sere'ra%S$a$s !en$a% : 6'ser+asi "ena!"i%an, $in&(a) %a(, ni%ai

&a-a 'i*ara, e(s"resi 5a/a) #an a($i+i$as !6$6ri( (%ien. Pa#a

(%ien -an& $e%a) %a!a !en#eri$a *e#era $%an& 'e%a(an&

'iasan-a s$a$s !en$a% (%ien !en&a%a!i "er'a)an.9. Pe!eri(saan Saraf Krania%

Pen&(a/ian ini !e%i"$i "en&(a/ian saraf (rania% I = IIa4. Saraf I. Biasan-a "a#a (%ien *e#era $%an& 'e%a(an& $i#a(

a#a (e%ainan #an fn&si "en*i!an $i#a( a#a (e%ainan.'4. Saraf II. Tes (e$a/a!an "en&%i)a$an "a#a (6n#isi n6r!a%.*4. Saraf III, IC, #an CI. Biasan-a $i#a( !en&a%a!i &an&&an

!en&an&(a$ (e%6"a( !a$a, ""i% is6(6ri.#4. Saraf C. Pa#a (%ien !enin&i$is !!n-a $i#a( #i#a"a$(an

"ara%isis "a#a 6$6$ 5a/a) #an ref%e(s (6rnea 'iasana- $i#a(

a#a (e%ainan.e4. Saraf CII. Perse"si "en&e*a"an #a%a! 'a$as n6r!a%,

5a/a) si!e$ris.

f4. Saraf CIII. Ti#a( #i$e!(an a#ana- $%i (6n#($if #an $%i

"erse"si.&4. Saraf I #an . Ke!a!"an !ene%an 'ai(.)4. Saraf I. Ti#a(a a#a a$r6fi 6$6$ s$ern6(%ei#6!as$6i#es

#an $ra"eis. A#an-a sa)a #ari (%ien n$( !e%a((an

f%e(si %e)er #an (a( (#( 0ri&i#i$as n(a%4.i4. Saraf II. Li#a) si!e$ris, $i#a( a#a #e+iasi "a#a sa$ sisi

#an $i#a( a#a fasi(%asi. In#era "en&e*a" n6r!a%.. Pen&(a/ian Sis$e! M6$6ri(


15/23

Ins"e(si !! #i#a"a$(an (e%!")an "a#a e(s$er!i$as

'a5a), 'ai( 'ersifa$ "ara%isis, "ara"%e&ia, !a"n

a#ri"%e&ia. Traa! "a#a (a#a e(ina !en&a%a!i

"ara%isis %a- #ari 6$6$ #i 'a5a) %$$ -an& 'ersifa$ !ene$a".

Pa#a (%ien #en&an *e#era "ara"%e&ia -an& %a!a serin&

#i#a"a$(an #e('i$s "a#a '6(6n& a(i'a$ "ene(anan

se$e!"a$ $%an& se(n#er #ari (ran&n-a !6'i%isasi (%ien

-an& !en&a%a!i "ara"%e&ia.

T6ns 6$6$. Di#a"a$(an !enrn sa!"ai )i%an&.

Ke(a$an 6$6$. Pa#a "eni%aian #en&an !en&&na(an

$in&(a$ (e(a$an 6$6$ #i#a"a$(an $in&(a$ "a#a

e(s$er!i$as 'a5a).

Kesei!'an&an #an (66r#inasi. Di#a"a$(an !en&a%a!i

&an&&an (arena (e%!")an e(s$er!i$as 'a5a).;. Pen&(a/ian Ref%e(s

Pe!eri(saan ref%e(s #a%a!, ref%e(s a*)i%%es !en&)i%an&, #an

ref%e(s "a$e%a 'iasan-a !e%e!a) (arena (e%e!a)an "a#a

6$6$ )a!s$rin&. Pe!eri(saan ref%e(s "a$6%6&is, "a#a fsaea($ ref%e(s fisi6%6&is a(an !en&)i%an&. Se$e%a) 'e'era"a

)ari ref%e(s fisi6%6&is a(an !n*% (e!'a%i #i#a)%i #en&an

ref%e(s "a$6%6&is.


16/23

(e!i) #an "sa$ s"ina%. Pen&&6s6n&an (an#n& (e!i) se*a

"eri6#i( 'er&an$n& "a#a ref%e(s %6(a% #in#in& (an#n& (e!i).

Pa#a (ea#aan ini, "en&6s6n&an #i%a((an 6%e) a(si 6$6$76$6$

#e$rs6r #an )ars #ia5a%i #en&an (6!"resi se*ara !ana%

"a#a #in#in& "er$ a$a #en&an !ere&an(an "er$.

Pen&6s6n&an (an#n& (e!i) -an& 'ersifa$ 6$6!a$is se"er$i ini

#ise'$ (an#n& (e!i) 6$6n6!.Tra!a "a#a (a#a e(ina (%ien !en&a%a!in )i%an&n-a ref%e(s

(an#n& (e!i) -an& 'ersifa$ se!en$ara #an (%ien !n&(in

!en&a%a!i in(6n$ensia rine, (e$i#a(!a!"an !en&6!ni(asi(an

(e'$)an #an (e$i#a(!a!"an n$( !en&&na(an rina%

(arena (ersa(an (6n$r6% !6$6ri( #an "6s$ra%. Se%a!a "eri6#e

ini, #i%a(a(an (a$erisasi in$erni$en #en&an $e(ni( s$eri%.f. B; 0B65e%4

Pa#a (ea#aan s-6( s"ina%, ner6"ra(sia serin& #i#a"a$(an

a#an-a i%es "ara%i$i(, #i !ana (%inis #i#a"a$(an )i%an&n-a

'isin& ss, (e!'n&, #an #efe(asi $i#a( a#a. Ha% ini

!er"a(an &e/a%a a5a% #ari $a)a" s-6( s"ina% -an& a(an

'er%an&sn& 'e'era"a )ari sa!"ai 'e'ra"a !in&&. Pa#a

"e!eri(saan ref%e(s '%'6(a+ern6sa #i#a"a$(an "6si$if,

!enan#a(an a#an-a s-6( s"ina% -an& /e%as "a#a (%ien #en&an

*e#era !e#%a s"ina%is. Pe!en)an n$risi 'er(ran& (arena

a#an-a !a% #an as"an n$risi -an& (ran&. Pe!eri(saan

r6n&&a !%$ #en&an !e%a((an "eni%aian a#a $i#a(n-a "a#a

!%$ a$a "er'a)an "a#a %i#a) #a"a$ !enn/((an a#an-a

#e)i#rasi.&. B< 0B6ne4

Para%isis !6$6ri( #an "ara%isis 6r&an in$erna% 'er&an$n& "a#a

(e$in&&ian %esi saraf -an& $er(ena $ra!a.Ge/a%a &an&&an !6$6ri( sesai #en&an #is$ri'si se&!en$a%

#ari saraf -an& $er(ena. Disfn&si !6$6ri( "a%in& !! a#a%a)

(e%e!a)an #an (e%!")an "a#a se%r) e(s$re!i$as 'a5a).

Ka/i 5arna (%i$, s), (e%e!'a"an, #an $r&6r (%i$. A#an-a


17/23

"er'a)an 5arna (%i$ : 5arna (e'iran !enn/((an a#an-a

sian6sis 0/n& ((, e(s$er!i$as, $e%in&a, )i#n&, 'i'ir, #an

!e!'ran !(6sa4. P*a$ "a#a 5a/a) #an !e!'ran !(6sa

#a"a$ 'er)'n&an #en&an ren#a)n-a (a#ar )e!6&%6'in a$a

s-6(. A#an-a (es%i$an n$( 'era($i+i$as (arena (e%e!a)an,

(e)i%an&an sens6ri, #an!#a) %e%a) !en-e'a'(an !asa%a)

"a#a "6%a a($i+i$as #an is$ira)a$.

@. Pe!eri(saan Dia&n6s$i(a. Sinar

'. T S*an*. MRI#. Mie%6&rafie. F6$6 r6n$&en $)6ra(sf. Ser! (i!ia&. GDA). Ur6#ina!i(

B. Pen-i!"an&an KDM


18/23

. Dia&n6sa Ke"era5a$an


19/23

1. Risi(6 $in&&i $er)a#a" #isref%e(sia 'er)'n&an #en&an

"er'a)an fn&si saraf 0*e#era !e#%a s"ina%is "a#a T< #an #i

a$asn-a4.8. Ha!'a$an !6'i%i$as fisi( 'er)'n&an #en&an (ersa(an

ner6!s(%ar.9. Risi(6 &an&&an in$e&ri$as (%i$ -an& 'er)'n&an #en&an $ira)

'arin& %a!a.

D. In$er+ensi

Risi(6 $in&&i $er)a#a" #isref%e(sia 'er)'n&an #en&an "er'a)an

fn&si saraf 0*e#era !e#%a s"ina%is "a#a T< #an #i a$asn-a4.

T/an : (%ien #an (e%ar&a #a"a$ !en*e&a) a$a !enan&&a"i a5a%

$an#a 7 $an#a a$a &e/a%a #ari #isref%e(sia.

Kri$eria )asi% : Men&ena% $an#a 7 $an#a a$a &e/a%a 7 &e/a%a sin#r6!,

!en&i#en$ifi(asi $in#a(an "en*e&a)an?(6re($if, #an $i#a( !en&a%a!i

e"is6#e #isref%e(sia.

In$er+ensi Rasi6na%

I#en$ifi(asi?!6ni$6r fa($6r = fa($6r

risi(6?fa($6r "en*e$s, se"er$i

#is$ensi (an#n& (e!i), #aera)

(%i$?/arin&an -an& $er$e(an,

"6sisi ##( -an& %a!a, s)

e(s$re!.

Dis$ensi +is*era% 'iasan-a

#ise'a'(an 6%e) #isref%e(sia

a$6n6! -an& #ian&&a" sa$

!asa%a) &a5a$. Pen&6'a$an

"a#a fase a($ )ars #i%a((an

se&era 0n$( !en&ran&i

s$i!%asi, !en&6'a$i &e/a%a 7

&e/a%a -an& $i#a( "erna) )i%an&4

(e!#ian in$er+ensi #an

$in#a(an )ars #iara)(an "a#a

"a-a "en*e&a)an.

O'ser+asi a#an-a $an#a 7

$an#a ?&e/a%a 7 &e/a%a sin#r6!.

Se"er$i "er'a)an $an#a =$an#a

+i$a%, )i"er$ensi "ar6(sis!a%,

$a(i(ar#i a$a 'ra(i(ar#i, res"6ns

De$e(si #ini #an i$er+ensi se&era

san&a$ "en$in& n$( !en*e&a)

!asa%a) -an& !n&(in !n*%

a$a (6!"%i(asi -an& seris


20/23

a$6n6!, 'er(erin&a$ rasa $er'a(ar

#i'a5a) #aera) $ra!a, !en&i&i%,

)i#n& $ers!'a$, sa(i$ (e"a%a

-an& !en-e'ar. a$a$ )a% 7 )a%

-an& 'er)'n&an #en&an

(e%)an a$a $an#a a$a &e/a%a

-an& 'er)'n&an #en&an sa(i$

#a#a, "an#an&an (a'r, !a%,

rasa !e$a%i(, sin#r6! H6rner

Da!"in&i $ers "asien se%a!a

fase se"er$i ini.

Masa se"er$i ini san&a$ "6$ensia%

n$( $er/a#in-a (6!"%i(asi -an&

fa$a%. Pe!an$aan?in$er+ensi -an&

$ers !eners #a"a$ !en&ran&i

(e*e!asan "asien.

Pan$a $e(anan #ara) seserin&

!n&(in 097; !eni$4 se%a!a fase

#isref%e(sia a$6n6!i( a($ #an(ran&i s$i!%asi. Lan/$(an n$(

!e%a((an "e!an$aan $e(anan

#ara) se$e%a) &e/a%a 7 &e/a%a

$erse'$ re#a

Tera"i a$a "en&ran&an $er)a#a"

s$i!%s -an& 'er%e'i)an #a"a$

!enrn(an $e(anan #ara) -an&*e"a$ !en&a(i'a$(an (risis

)i"6$ensi, $er$a!a "a#a "asien

-an& $e(anan #ara)n-a ren#a).

Disref%e(sia a$6n6! #a"a$ $er/a#i

$er$a!a /i(a s$i!%s $i#a(

)i%an&

Tin&&i(an 'a&ian (e"a%a $e!"a$

$i#r sa!"ai ; #era/a$ a$a

sa!"ai "6sisi ##(

Te(anan #ara) -an& ren#a)

#a"a$ !en*e&a) "er#ara)an

in$ra(rania%, (e/an& a$a 'a)(an

!enin&&a%. a$a$an !ene!"a$(an

"asien a#ri"%e&ia "a#a"6sisi

##( se*ara 6$6!a$is #a"a$

!enrn(an $e(anan #ara).

Hi%an&(an s$i!%s "en-e'a' /i(a

!e!n&(in(an, !isa%n-a :

Men&)i%an&(an s$i!%s -an&

'er'a)a-a -an& 'iasan-a


21/23

(an#n& (e!i), ss, $e(anan

(%i$ 0$er!as( !e%e"as(an

i(a$an (a(i?'a/ -an& (e$a$4 s)

e(s$re!

!en&a()iri e"is6#e !asa%a) #an

#a"a$ !en*e&a) #isref%e(sia

a$6n6! -an& %e'i) seris,

*6n$6) : a#an-a %(a 'a(ar

(arna sinar !a$a)ari, anes$)esia

%6*a% )ars #i&na(an. 6n$6)n-a

"en&e%aran feses -an& (eras

#a"a$ #i$n#a sa!"ai (ea#aan

(ar#i6+s(%er s$a'i%.

Ha!'a$an !6'i%i$as fisi( 'er)'n&an #en&an (ersa(an

ner6!s(%ar.

T/an : #a%a! 5a($ 8 8 /a! (%ien $er(6n#isi #an !a!"

!e%a(sana(an a($i+i$as fisi( #en&an (e!a!"ann-a.Kri$eria )asi% : (%ien #a"a$ i($ ser$a #a%a! "r6&ra! %a$i)an, $i#a(

$er/a#i (6n$ra($r sen#i, 'er$a!'a)n-a (e(a$an 6$6$, #an (%ien

!enn/((an $in#a(an n$( !enin&(a$(an !6'i%i$as.

In$er+ensi Rasi6na%

Ka/i !6'i%i$as -an& a#a #an

6'ser+asi $er)a#a" "enin&(a$an

(ersa(an ser$a (a/i se*ara $era$r

fn&si !6$6ri(

Men&e$a)i $in&(a$ (e!a!"an

(%ien #a%a! !e%a((an a($i+i$as

U'a) "6sisi (%ien $ia" 8 /a! Menrn(an risi(6 $er/a#in-a

is(e!ia /arin&an a(i'a$ sir(%asi

#ara) -an& /e%e( "a#a #aera)

-an& $er$e(an

Ban$ (%ien !e%a((an %a$i)an

ROM, "era5a$an #iri sesai

$6%eransi

Un$( !e!e%i)ara f%e(si'i%i$as

sen#iri sesai (e!a!"an

La((an &era(an "asif "a#a

e(s$er!i$as -an& sa(i$

O$6$ +6%n$er a(an (e)i%an&an

$6ns #an (e(a$ann-a 'i%a $i#a(

#i%a$i) n$( #i&era((an


22/23

Risi(6 &an&&an in$e&ri$as (%i$ -an& 'er)'n&an #en&an $ira)

'arin& %a!a.

T/an : #a%a! 8 8 /a! (%ien !e!"er)a$i(an "eri%a( !a!"

!e!"er$a)an(an (e$)an (%i$.Kri$eria )asi% : (%ien !a 'er"ar$isi"asi $er)a#a" "en*e&a)an %(a,

!en&e$a)i "en-e'a', #an *ara "en*e&a)an %(a, $i#a( a#a $an#a 7

$an#a (e!era)an a$a %(a, (%i$ (erin&.

In$er+ensi Rasi6na%

Ka/i fa($6r resi(6 $er/a#in-a&an&&an in$e&ri$as (%i$

Fa($6r -an& !e!en&ar)i&an&&an in$e&ri$as (%i$ a#a%a)

i!!6'i%isasi, )i%an&n-a sensasi,

in(6n$inensia '%a##er ? '65e%

An/r(an n$( !e%a((an %a$i)an

ROM #an !6'i%isasi /i(a !n&(in

Menin&(a$(an a%iran #ara) (e

se!a #aera)

Ka/i (ea#aan (%i$ (%ien se$ia" 3

/a!

Men/e&a) %e'i) #ini $er/a#in-a

#e('i$s

U'a) "6sisi $ia" 8 /a! Daera) -an& $e(anan a(an

!eni!'%(an )i"6(sia, "er'a)an

"6sisi !enin&(a$(an sir(%asi

#ara)

E. E+a%asi1. Da"a$ !en*e&a) a$a !enan&&a"i a5a% $an#a 7 $an#a a$a &e/a%a

#ari #isref%e(sia.8. Ma!" !e%a(sana(an a($i+i$as fisi( #en&an (e!a!"ann-a.9. Ma!" !e!"er$a)an(an (e$)an (%i$.


23/23

DAFTAR PUSTAKA

Ba$$i*a*a, F. 83.Asuhan Keperawatan Klien dengan Gangguan Sistem

Persarafan. >a(ar$a : Sa%e!'a Me#i(a.a"erni$67M6-e$, L-n#a >a%%. 82. Nursing Care Plans and

Documentation : Nursing Diagnoses and Collaborative Promblems.

;$)7e#. P)i%a#)e")ia : W6%$ers K%5er.

)$$":??!e#i*as$6re.*6!?"en-a(i$?

klp 4 trauma medulla spianlis.docx

Documents