Vertigo Walen Ppt

8/10/2019 Vertigo Walen Ppt

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REFERAT VERTIGO

Disusun oleh:

Walentina

1061050071Pembimbin:

!"# Aus $u!a Wi%a&a' ()(# *si# *e!


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PE+DA,-.-A+

BahasaVERTIGOSensasiGangguanKeluhan


3/45

Ve"tio )e"i/e" )a"osismal benina 234')en&ait menie"e 1'54' )a"ese estibula"unilate"al 18'54' )a"ese estibula"

bilate"al 4' !is/unsi telina tenah 64'!an 9stula 54# Dan &an !isebabana"ena eainan neu"oloi a!alah: )en!e"itast"oe atau TIA 854' anuan sa"a/ )usat

lainn&a ;;4' mi"en e"teb"obasile"164' atasia senso"i 74' !is/unsianlia basalis 54' atasia se"ebela" 54


4/45

A+ATO*I DA+ FI(IO.OGI


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6/45


7/45


8/45

FI(IO.OGI A.AT


9/45

FI(IO.OGI A.AT


10/45

FI(IO.OGI


11/45

Pusat


12/45

De9nisi Ve"tio


13/45

Pato9sioloi


14/45

Etioloi Ve"tio =e"!asa"an Anatomi

1# Ve"tio non>sistematisMata :

Paresis otot mata, Kelainan refraksi, Glaukoma

P"o)"iose)ti :Pela"a' Aloholisme

,i)osia se"eb"i :,i)e"tensi "onis' A"te"iosle"osis' Anemia' ,i)e"tensi a"!ioasula"'

Fib"ilasi at"ium )a"osismal' (tenosis ao"ta ? insu9siensi' (in!"omsinus a"otis' (ino)e' ,i)otensi o"tostasi' =lo %antun

In/esi :*eninitis' Ense/alitis' Abses


15/45

Etioloi Ve"tio =e"!asa"anAnatomi

;# Ve"tio &an sistematisTelinga Bagian luar :Serumen, Benda asing

Telina baian tenah :

Ret"asi memb"an tim)ani' Otitis me!ia )u"ulenta auta' Otitis me!ia !enane/usi' .abi"intitis'


16/45

VERTIGO PERIFER

Te"%a!i )a!a lesi !ilabi"in !an ne"usestibula"is' )en&ebab e"tio %enis)e"i/e":

neu"itis estibula" Ve"tio )osisional benina

Pen&ait menie"e

T"auma

Obat>obatan

Tumo" !i/ossa )oste"io"


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.A*A+$A EPI(ODE=ER.A+G(-+G

=E=ERAPA DETI


18/45

.A*A+$A EPI(ODE=ER.A+G(-+G

=E=ERAPA *E+IT ATA- =E=ERAPA @A*


19/45


20/45

VERTIGO (E+TRA.

PE+$E=A=+$A:

st"oe batan ota atau TIAe"teb"obasile"

+eo)lasma

*i"en basile"

T"aumaPe"!a"ahan !ie"ebellum

In/a" !ibatan ota


21/45

PER=EDAA+ VERTIGO PERIFER DA+

(E+TRA.

Ciri-ciri Vertigo perifer Vertigo sentral

(ensasi be")uta" *ela&an

=anitan .ebih men!a!a .ebih lambat

Ten)o se"anan E)iso!i

Ge"aan )enetus Ge"aan e)ala Ti!a a!a )ena"uh*asa laten 8>20!eti Ti!a a!a


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CII-CII V!TIG" P!I#! V!TIG" S!$T%&

Pen&ebab Ve"tio )osisional)a"osismal %ina=PPV' )en&aitmenie"e' neu"ionitis

estibula"' labi"initis'neu"oma austi't"auma

Isemi batan ota'e"teb"obasile"insu9siensi'neo)lasma' mi"en

basile"

Ganuan ((P Ti!a a!a Di)lo)ia' )a"estesi'anuan sensibilitas!an /unsi moto"i'

!isa"tia

,abituasi $a >

@a!i a)e $a >

+istamus ,o"iontal atau"otatoa"

,o"ionta' e"tial'"otatoa"


23/45

PE*ERIatan&a sen!i"i a)a &an ia

masu!an !enan )usin te"sebut# Anamnesis husus menenai e"tion&a :

A!aah ehususan si/at e"tio &an timbul'e)a"ahan e"tion&a# Rasa e"aan )alsu !a"i tubuh atau seita"n&a "asa

be")uta"

Rasa ti!a ena !i e)ala : e)ala "inan' hubunann&a!enan )enlihatan !an esa!a"an#


24/45

A+A*+E(I(

Intensitas timbuln&a e"tio be"sanutan!enan )e"%alanan atu' baaimanae"tio itu !imulai timbul !an baaimana

ia be"ahi" : =e"a)a !eti' ha"i' minu atau

bulan

A)aah !i anta"a se"anan itu)en!e"ita bebas sama seali !a"ieluhan


25/45

A+A*+E(I(

Pena"uh linunan atau situasi :

A!aah suatu )osisi )e"ubahan )osisitubuh !an atau e)ala men&ebaban

timbuln&a se"anan atau meninataneluhan

A)aah st"es )siis menaali timbuln&ase"anan


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A+A*+E(I(

(t"e)tomisinB !ihi!"ost"e)tomisin

Antionulsan

GentamisinB a"amisin

Anti hi)e"tensi


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TE( RO*=ERG

Pa!a elainan estibule"

han&a )a!a mata

te"tutu) ba!an )en!e"ita

aan be"o&an

men%auhi a"is tenah

emu!ian embali lai'

)a!a mata te"bua

ba!an )en!e"ita teta)

tea# (e!anan )a!a

elainan se"ebella" ba!an

)en!e"ita aan


28/45

TA+DE* GAIT

Pa!a elainanestibule")e"%alanann&a

aan menalami!eiasi esisilesi' !an )a!a

elainanse"ebele")en!e"ita aan

en!e"un %atuh


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Past-pointing test -%i Tun%u

=a"an&

Pa!a elainanestibula" etiamata te"tutu)

maa %a"i )asienaan !eiasiea"ah lesi#Demiian %ua)a!a elainanse"ebe"al


30/45

TE( F-


31/45

PE*ERI


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Peme"isaan nistaumus *aneue" +&len =a"an&atau *anue" ,all)ie

Pa!a elainan)e"i/e": laman&anistamus 10>80!eti atau H1 menit'!ise"tai e%alae"tio &an be"at#

Pa!a elainansent"al: nistamuslansun munul'e%ala e"tio bisaa!a atau ti!a


33/45

Peme"isaan nistamus Tes


34/45

Peme"isaan nistamus Tes


35/45

PE+ETA.A50m' 2 ali seha"i

.Di/henhi!"amin bena!"&l

!osis ;5m>50m' 2 ali seha"i


36/45

PE+ATA.A


37/45

PE+ATA.A


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PE+ATA.A;5 m' 2ali seha"i#


39/45

PE+ATA.(A+AA+ VERTIGO

2# O=AT PE+E+A+G *I+OR

Da)at !ibe"ian e)a!a )en!e"itae"tio untu menu"ani eemasan

&an !i!e"ita &an se"in men&e"taie%ala e"tio#

.ORANEPA*

Dosis !a)at !ibe"ian 0'5 m 1 m DIANEPA*

Dosis !a)at !ibe"ian ; m 5 m#

(


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PE+ATA.A


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RE,A=I.ITA(I VE(TI=-.AR

Tu%uan "ehabilitasi estibula" a!alahuntu:

*eninatan eseimbanan

*eminimalan %atuh

*enu"unan sensasi sub&eti/ )usin

*eninatan stabilitas selama)e"e"aan


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Brand-'arrof

Ambil )osisi !u!u

A"ahan e)ala e i"i'emu!ian bali )osisi !u!u

A"ahan e)ala eanan'

emu!ian bali e)osisi!u!u

.atihan ini !ilauan 8 ali)e"ha"i

*anue" !ilauan seban&a

5 ali setia) set Pa!a umumn&a )e"baian

!i)e"oleh setelah 80 set atauseita" 10ha"i#


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Da/ta" )ustaa

1# @oesoe/' AA : Ve"tio# In ,a"sono e!# )"oses )en&ait' e!isi 6'@aa"ta : EG# ;005 : 1051>58#

8# AA# @oesoe/# Patho)h&siolo& o/ e"tio in ao"!ane ithhabituation )henomenon# The 2th I+A on"ess an! the ;n! A(+Ae)ile)s& on/e"ene# ;000#

2# (he"oo!' .au"alee# Fisioloi manusia# E!isi eenam# (istemsa"a/ )e"i/e"# @aa"ta: EG' ;011: ;82>21#

5# =ea" *F' onno"s =W' Pa"a!iso *A# The au!ito"& an! estibula"s&stems# In: neu"osiene eJ)lo"in the b"ain' 8"!# .i))inottilliams an! ilins' baltimo"e# ;007: 828>5#


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Da/ta" )ustaa

6# Gol!be"' *E' ,u!s)eth A@# The estibula" s&stem# In: an!el' E:)"ii)les o/ neu"al siene# 2th e!ition# *a "a>hill' ;000# 01>15#

7# Da"linton .' (mith PF# What neu"ot"ansmitte"s o"e im)o"tant in theestibula" s&stem# In RW' =aloh' G* ,alma&i: !iso!e"s o/ the estibula"s&stem# OJ/o"! unie"sit& )"ess# +e &o"' 1336: 120>155#

# Reason' @T# ="an!' @@# *otion siness# Aame!i )"ess# .on!on '1375#

3# =a"ma' *' $oun W(# O)toineti stimulation in"eases o"tiot"o)in>"eleasin /ato" *R+A in in/e"io" olia"& neu"ons o/ "abbits# @# +eu"osi'1330: 681>;2;#

10# Diete"ih *# Diines# +eu"oloist# ;002: 152>162#

11# hala +' Olshae" @(# Dianosis an! manaement o/ !iiness an!

e"tio# *e! lin no"th am# ;006: ;31>802#1;#


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TERI*A

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Vertigo Walen Ppt