REFERAT

TERAPI OKSIGEN
HIPERBARIK PADA STROKE

Pembimbing :
Letkol Laut (K) dr. Akhmad Rofiq, M.Kes

Oleh :
Ayu Fitrya Marini 2017.04.2.0022
Pendahuluan
 3

Stroke merupakan HBOT adalah pemberian oksigen

penyebab terbesar bertekanan tinggi untuk
kecacatan fisik dan pengobatan yang dilaksanakan
Latar Belakang penyebab utama dalam RUBT. HBOT pada
kematian di negara beberapa penyakit dapat sebagai
berkembang. terapi utama maupun terapi
Tatalaksana stroke tambahan. Hiperoksia merupakan
bertujuan untuk pilihan terapi yang menarik untuk
membatasi kerusakan stroke akut karena memiliki
pada otak, beberapa sifat ideal dari
mengoptimalkan neuroprotektif, HBOT
pemulihan dan memberikan efek terapeutik pada
mencegah penyembuhan stroke, bahkan
kekambuhan. pada fase kronis
Tinjauan Pustaka
 5

Suatu sindroma yang ditandai dengan

gangguan fungsi otak, fokal atau global, yang
Definisi Stroke timbul mendadak, berlangsung lebih dari 24
jam atau berakhir dengan kematian tanpa
penyebab yang jelas selain vaskular.

Jadi stroke adalah kelainan jaringan otak

yang disebabkan oleh gangguan aliran darah
 6
○ Data stroke di Indonesia menunjukan
peningkatan terus baik dalam hal kejadian,
kecacatan, maupun kematian. Angka kematian
berdasarkan umur adalah sebesar 15,9% (umur
Epidemiologi 45-55 th) dan 26,8 % (umur 55-64 th), dan 23,5%
(umur>65th). Kejadian stroke sebesar
51,6/100.000 penduduk, dan kecacatan 4,3% dan
semakin memberat, penderita laki-laki lebih
banyak daripada penderita perempuan

○ Di Amerika terdapat sekitar 700.000 kasus stroke

setiap tahunnya, 600.000 kasus diantaranya
stroke iskemik dan 100.000 kasus lainnya
merupakan stroke perdarahan
 7

Berdasarkan Manifestasi Berdasarkan Sifat

Klinis : Gangguan Aliran Darah :
Klasifikasi 1. TIA (Transient 1. Non Hemoragik
Ischemic Attack) (Iskemik), dibagi
2. Stroke in Evolution menjadi thrombosis
dan emboli
3. RIND (Reversible
Ischemic 2. Hemoragik, dibagi
Neurological Deficit) menjadi subarachnoid
dan intraserebral
4. Completed Stroke
 8

Faktor Resiko
 9

Etiologi

○ Hipertensi yang tidak terkontrol merupakan penyebab utama perdarahan

intrasereberal. Penyebab lain : pecahnya aneurisma, malformasi
arterivena, alkoholisme, terapi antikoagulan
○ Sedangkan perdarahan subaraknoid, sebagian besar disebabkan oleh
pecahnya aneurisma pada percabangan arteri-arteri besar. Penyebab lain
adalah malformasi arteri-vena atau tumor
 10

Patofisiologi
 11
Serangan stroke jenis apapun akan
menimbulkan defisit neurologis yang bersifat
akut meliputi :
Tanda dan
○ Hemidefisit motorik
Gejala
○ Hemidefisit sensorik
○ Penurunan kesadaran
○ Kelumpuhan nervus fasialis (VII) dan
hipoglosus (XII) yang bersifat sentral
○ Gangguan fungsi luhur seperti kesulitan
berbahasa (afasia) dan gangguan fungsi
intelektual (demensia)
○ Hemianopsia
 12

Pemeriksaan standar : Pemeriksaan lain :

Pemeriksaan ○ CT scan kepala (atau ○ Foto thoraks
MRI) ○ Tes faal hati
Penunjang
○ EKG ○ Saturasi oksigen,
○ Kadar gula darah analisa gas darah
○ Elektrolit serum ○ Kadar alkohol dalam
○ Tes faal ginjal darah
○ Darah lengkap
○ Faal Hemostasis
 13

Hello!
I am Jayden Smith
I am here because I love to give presentations.
You can find me at @username
 14

Stroke merupakan Terapi oksigen hiperbarik

Latar Belakang penyebab terbesar adalah pemberian oksigen
kecacatan fisik dan bertekanan tinggi untuk
penyebab utama pengobatan yang
kematian di negara dilaksanakan dalam RUBT.
berkembang. Terapi oksigen hiperbarik
Tatalaksana stroke pada beberapa penyakit
bertujuan untuk dapat sebagai terapi utama
membatasi kerusakan maupun terapi tambahan.
pada otak, Terapi oksigen pada
mengoptimalkan hiperoksia merupakan
pemulihan dan pilihan terapi yang menarik
untuk stroke akut karena
 “
15

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 16

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 19

In two or three Yellow Blue Red

columns Is the color of gold, Is the colour of the Is the color of blood,
butter and ripe lemons. clear sky and the deep and because of this it
In the spectrum of sea. It is located has historically been
visible light, yellow is between violet and associated with
found between green green on the optical sacrifice, danger and
and orange. spectrum. courage.
 20

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Want big impact?

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 28

Yellow Blue Red

Let’s review Is the color of gold, Is the colour of the clear Is the color of blood, and
butter and ripe lemons. sky and the deep sea. It is because of this it has
some concepts In the spectrum of visible located between violet historically been
light, yellow is found and green on the optical associated with sacrifice,
between green and spectrum. danger and courage.
orange.

Yellow Blue Red

Is the color of gold, Is the colour of the clear Is the color of blood, and
butter and ripe lemons. sky and the deep sea. It is because of this it has
In the spectrum of visible located between violet historically been
light, yellow is found and green on the optical associated with sacrifice,
between green and spectrum. danger and courage.
orange.
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