Upload
armandorahadian
View
26
Download
3
Embed Size (px)
DESCRIPTION
PPT Reflux Trisakti
Citation preview
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 1/19
ARYNGOPHARYNGEA
REF UX
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 2/19
•
Definisi :Aliran balik cairan lambung ke laring, faring, trakea, dan bronkus
• Terjadi ketika perbedaan tekanan antara tekanan positif intra-
abdominal dan tekanan negatif pada thoraks maupun laringofaring
• Epidemiologi :
Rata-rata usia pasien dengan LPR, yaitu 50 tahun dimana !" penderitanya adalah
#anita $%elafsky et al, &00'(
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 3/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 4/19
Diagnosis refluks laringofaring dapat
ditegakkan berdasarkan :
• Anamnesis
• Gejala Klinis
1. Reflux Symptom ndex !RS"
#. Reflux $inding S%ore !R$S"x
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 5/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 6/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 7/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 8/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 9/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 10/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 11/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 12/19
3bat ppi, antagonis h&, sulfakat, antasid 88
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 13/19
PENATA A'SANAAN
1. (ER+*A0A& (2,A 0D+(
#. 'EDKA'E&)2SA
•2bat ((3 seperti omepra4ole3 rabepra4ole3 esomepra4ole.
(aling efektif
• Antagonis 0# reseptor3 seperti ranitidine3 %imetidine3 yang
berfungsi mengurangi sekresi asam lambung
. (E'*EDA0A&
Dilakukan apabila setela5 diberikan pengobatan3 tidak meng5asilkan
respon yang signifikan
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 14/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 15/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 16/19
'O&P I'ASI
• 6AR9/:9T9
• A;A
• P/7<;3/9A
• T7/39 LAR9/:
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 17/19
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 18/19
GERD ,(R
L7TA= :A/::<A/ L7 <7
27ART%<R/ =7L<2A/ <TA;A$>736A:9T9(
A/:AT ?ARA/:
P399 %7R%AR9/: %A.A/ T7:A=
R76L<= %7R96ATL7%92 LA;A
R76L<= 9/T7R;9T7/
;3T9L9TA 736A:< T7R:A/::< /3R;AL
A=T< T7R?A.9 ;ALA; 9A/:
;7.9=A;7/T3A P7/:3%ATA/ L7%92LA;A
7/21/2019 Laryngopharyngeal Reflux
http://slidepdf.com/reader/full/laryngopharyngeal-reflux-56e10922c974a 19/19
TERI&A'ASIH