vertigo ppt.pptx

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    Vertigo PeriferGRESIA KRISTI

    11.2013.237

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    ALAT KESEIMBANGAN

    ALAT KESEIMBANGAN = ALAT VESTIBULERLABIRIN

    3 KANALIS SEMISIRKULARIS

    UTRIKULUS DAN SAKULUS

    ANTARA LABIRIN TULANG DAN MEMBRAN PERILIME

    LABIRIN MEMBRANEND!LIME

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    ISI!L!GI ALAT KESEIMBANGAN

    GERAKAN "PERUBA#AN KEPALAPERPINDA#AN END!LIMEPR!SES DEP!LARISASISARA AEREN KE !TAK

    !RGAN VESTIBULER!RGAN TRANSDU$ER

    PAT!ISI!L!GI ALAT VESTIBULER % RANGSANGAN N!RMAL

    PERUBA#AN K!NSENTRASI !KSIGEN

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    PEMERIKSAAN KESEIMBANGAN

    U&I R!MBERG

    STEPPING TEST

    PAST P!INTING TEST

    P!STUR!GRAI

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    DEINISI VERTIG!

    VERTIG! ADALA# PERASAAN BERPUTAR

    VERTIG!

    VERTIG! SP!NTAN

    VERTIG! P!SISI

    VERTIG! KAL!RI

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    Etio'ogi

    Ke()((* 'i*g+,*g(* % -(,+ )(r(t/ -(,+ '(,t.

    !(to(t(* % ('+oo'/ (-i*og'i+oi)( Per,((* oii % BPPV

    Me*iere Die(e

    I*fe+i % i*fe+i te'i*g( (gi(* )('(- +(re*( (+teri/ '(iri*ti/ er()(*g(*

    (r(f 4eti,'er/ ere 5oter.

    Ke'(i*(* Ne,ro'ogi % T,-or ot(+/ t,-or 6(*g -e*e+(* (r(f 4eti,'(ri/

    +'eroi -,'ti'e. Ke'(i*(* ir+,'(ri % G(*gg,(* f,*gi ot(+ e-e*t(r( +(re*( er+,r(*g*6(

    ('ir(* )(r( +e ('( (t, (gi(* ot(+ transient ischemic attack8 ()( (rteri

    4erter(' )(* (rteri (i'er.

    Tr(,-( % (rotr(,-(/ tr(,-( -e+(*i+

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    BPPV

    Per((t

    1. Di9 #(''i+e

    2. Si)e'6i*g

    3. Ro'' )i9 (''i+e

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    NISTAGMUS

    Reo* (*or-('

    1. f(e :e(t +e (t( er,t(r +e+(*(* BPPV +(*('i oterior +(*(*

    2. f(e :e(t +e (t( er,t(r +e +iri BPPV +(*('i oterior +iri

    3. f(e :e(t +e (;( er,t(r +e +(*(* BPPV +(*('i (*terior +(*(*

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    Pe*(t('(+(*((*

    1. $RT

    2. er((t 'ier(tor6

    3. er((t r(*)t )(roff 10209 e(ri

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    Infeksi Letak Keterangan

    L(iri*iti Te'i*g( )('(- R()(*g ()( te'i*g( )('(-/ '(iri*. G4ertigo )(*"(t(, t,'i (r(f.

    Ne,riti 4eti,'(ri Perifer/ (r(f VIIIS,(t, e*t,+ e*6(+it org(*i: 6(*g te()( g(*gg,(* 4eti,'(r . Ge('( % 4e(-(i +eti)(+ei-(*g(*.

    !titi -e)i( Te'i*g( te*g( Ter,t(-( otiti -e)i( ,,r(tif +ro*i'ei )(ri 2 ,'(*/ e+ret +e',(r )(ri t

    $o'ete(to-( Me-r(* ti-(*i/ -(toi) D((t -e*e+(* )(* -e*)e(+ org(*)ie+it(r*6( (-(i *e+roi t,'(*g.

    it,'( '(iri* Te'i*g( )('(- S,(t, eroi t,'(*g )(ri +(,' '(iri*/ eri*g ter()i (+i(t +o-'i+(i )(ri !Ge('( % 4ertigo/ -,('/ -,*t(/ *it(gt,'i.

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    VERTIG! SP!NTAN

    Vertigo 6(*g ti-,'

    t(*( e-eri(*

    r(*g(*g(*/

    r(*g(*g(* ti-,'

    )(ri e*6(+it*6(

    e*)iri.Mi(' % e*6(+it

    Me*iere

    Pe*6(+it Me*iere

    Pe*6e( (ti e',- )i+et(,i

    TRIAS e*6(+it Me*iere %

    1. Vertigo

    2. Ti*it,

    3. T,'i e*ori*e,r('

    SINGKIRKAN KEMUNGKINAN NEUR!MA

    AKUSTIK >>

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    TUM!R

    Ne,ro-( A+,ti+ " Veti,'(r S:;(**o-(

    A)('( t,-or i*(+ )(ri *er4, 4eti,'o+o+'e(ri 6(*g -,*:,' )i (gi(*

    -e)i(' +(*('i (,)itori i*ter*, (t(, '(ter(' :eree''oo*ti*e (*g'e $PA8

    Ge('( % t,'i e*ori*e,r(' ,*i'(ter('/ ti*it,/ g(*gg,(* +eei-(*g(*/ )(*

    4ertigo.

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    KELAINAN ANAT!MI

    !to+'eroi

    Pe*6(+it ()( +(,' t,'(*g '(iri* 6(*g -e*g('(-i o*gioi )i )(er( +(+i

    t(e ei*gg( t(e -e*()i +(+, )(* ti)(+ )((t -e*g(*t(r+(* get(r(*,(r( +e '(iri* )e*g(* (i+

    Pe*)e*g(r(* er+,r(*g e:(r( rogreif/ ti-,' t,'i +o*),+tif ()( (;('e*6(+it/ ti**it,/ 4ertigo

    Pe*6e( e*6(+it i*i e',- )((t )i(ti+(*

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    Vertigo Psikogenik

    Se'(i* e*6e( )(ri egi fii+/ e*6e( '(i* -,*:,'*6( 4ertigo ()('( o'(

    i), 6(*g t(+ ter(t,r/ eerti +,r(*g ti),r (t(, ter'(', -e-i+ir+(* ,(t,-(('( i*gg( tre.

    Vertigo 6(*g )ie(+(* o'e tre (t(, te+(*(* e-oio*(' )ie,t vertigopsikogenik

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    Prinsip umum terapi Vertigo

    1. ANTI#ISTAMIN

    BETA#ISTIN

    DIMEN#IDRINAT 2? -g/ 3

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    PR!GN!SIS

    Prog*oi (ie* )e*g(* 4ertigo erifer ,-,-*6( (i+ )(* )((t ter()ire-ii e-,r*(.

    Tie e*tr(' rog*oi*6( terg(*t,*g )(ri e*6(+it 6(*g -e*)((ri*6(.

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