Rehabilitasi Medis Pada Kasus Stroke dan Bell's Palsy

Tuesday, May 17, 2022 7:02 AM

Rehabilitasi medik adalah salah satu terapi yang non farmako, yg diberikan setelah mengalami
stroke
Stroke ada 2 macam :
- Stroke iskemik
- Stroke hemoraggik
Di reham medis 2 stroke itu sangat berbeda

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Stroke --> spesifik --> salah satu sisi atau kedua sisi

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Toilet --> urgent --> sakit ga sakit mesti ke toilet

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Di atas 6 bulan harusnya dah stabil

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Fungsi menelan --> sebagian pasien stroke mengenai n. --> ada di daerah oral dan fungsi menelan
terganggu
Faktor resiko --> harus dikendalikan --> biar ga terjadi lagi

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Fase sub akut --> kalo nilai kekuatan 3 --> bakal tetep 3 dan ga akan turun
Mahasiswa --> afasia motorik dan sensorik
Diajak bicara jawab tp jawabe ga jelas --> afasia sensorik
Afasia motorik --> diajak ngomong paham, tp dia ga bisa ngomong
Disartria : pelo/ ngomong bisa tp artikulasi ga tepat
Fungsi visual : n.3, 4,6
Ambulasi jalan --> google leyer
ADL : ga bisa melakukan apa apa sendiri misal pakai baju, jalan dll

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Saat tidur mestinya lurus, tp harus berubah posisinya minimal 2 jam

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Orang yang stroke, bahunya mengalami slukfruksasi --> harus dilakukan pengolahragaan --> ROM

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Menelan n. 9, 7, 11, 12

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Stroke --> hemiparesis

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Bells palsy adalah kelemahan pada separuh wajah yang dipersarafi oleh nervus fasialis

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Central --> kelainan ada di sentral --> karena masih dipersarafi disebelah satunya --> pasien
stroke --> masih bisa ngangkat dahi
Kalo perifer itu yg kena di perifer dan dari dahi sampe dagu lumpuh
Perifer --> tampak lebih berat

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Elektrikal stimulasi --> diberikan pada minggu kedua

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Elektrikal stimulasi --> diberikan pada minggu kedua

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Pertanyaan
Perbedaan stroke dan bells palsy
Penilaian : istirahat, mengerutkan dahi, angkat alis, tutup mata, senyum, menggelembungkan pipi
Tutup mata ndak bisa maksimal
Buat tau stroke apa bells palsy --> mengerutkan dahi

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