Epidemiologi Stroke

Elprista Tamarayanti (11181010000028)

Vernanda Eka Hardianto (11181010000037)
Qonita Ammarwati (11181010000045)
Faurizka Merza Aulia (11181010000096)
Silvia Faidah (11181010000113)
 Gejala

Kesulitan berbicara Sakit kepala yang tiba-

dengan jelas tiba

Mati rasa/ kelumpuhan Gangguan

keseimbangan tubuh

Pengelihatan menurun Pusing/pingsan tanpa

alasan yang jelas

inkontinensia
Diagnosis

Pemeriksaan klinis 01 04 MRI

Uji elektrokardiogram 02 05 Ultrasonik

tomografi 03 06 Doppler Transkranial

Prognosis
Prognosis Stroke Dapat Dilihat Dari 6 Aspek Yakni: Death, Disease,
Disability, Discomfort, Dissatisfaction, Dan Destitution. Keenam Aspek
Prognosis Tersebut Terjadi Pada Stroke Fase Awal Atau Pasca Stroke.
Untuk Mencegah Agar Aspek Tersebut Tidak Menjadi Lebih Buruk Maka
Semua Penderita Stroke Akut Harus Dimonitor Dengan Hati-hati
Terhadap Keadaan Umum, Fungsi Otak, EKG, Saturasi Oksigen,
Tekanan Darah Dan Suhu Tubuh Secara Terus-menerus Selama 24 Jam
Setelah Serangan Stroke
Prognosis Stroke Juga Dipengaruhi Oleh Berbagai Faktor Yang
Mempengaruhi Seperti Usia, Diabetes, Hipertensi, Stroke Sebelumnya
Dan Keadaan Yang Terjadi Pada Penderita Stroke. Hasil Akhir Yang
Dipakai Sebagai Tolok Ukur Diantaranya Outcome Fungsional, Seperti
Kelemahan Motorik, Disabilitas, Quality Of Life, Serta Mortalitas.
 1) Terapi Non Farmakologi
Pembedahan (Surgical Intervention)
2) Terapi farmakologi

Pengobatan ) Terapi suportif dengan infus manitol bertujuan

untuk mengurangi edema disekitar perdarahan.
b) Pemberian Vit K dan fresh frozen plasma
jika perdarahannya karena komplikasi
pemberian warfarin.
c) Pemberian protamin jika perdarahannya
akibat pemberian heparin.
Pengobatan Stroke d) Pemberian asam traneksamat jika
01 Iskemik Akut perdarahnnya akibat komplikasi pemberian
trombolitik.

1) Terapi non farmakologi

a) Pembedahan (Surgical
Pengobatan Stroke
Hemoragik 02
Intervention)
b) Intervensi Endovaskuler
2) Terapi Farmakologi
a) Terapi Suportif dan Terapi
Komplikasi Akut
b) Terapi Trombolitik
Frekuensi
Stroke
Stroke merupakan penyebab utama kematian dan kecacatan di banyak
negara. Dilaporkan bahwa, pada tahun 2013, secara global, ada hampir
25,7 juta orang yang selamat dari stroke, 6,5 juta kematian akibat stroke,
113 juta tahun hidup yang cacat-disabilitas (DALY) hilang karena stroke,
dan 10,3 juta kasus baru stroke.
Menurut WHO, 15 juta orang menderita stroke di seluruh dunia setiap
tahunnya. Dari jumlah ini 5 juta mengalami kematian dan 5 juta lainnya
mengalami kecacatan permanen.
 Distribusi Stroke

Prevalensi stroke di Indonesia berdasarkan diagnosis tenaga kesehatan

sebesar 7 permil dan yang terdiagnosis tenaga kesehatan atau gejala
sebesar 12,1 per mil. Prevalensi Stroke berdasarkan diagnosis nakes
tertinggi di Sulawesi Utara (10,8‰), diikuti DI Yogyakarta (10,3‰),
Bangka Belitung dan DKI Jakarta masing-masing 9,7 per mil. Prevalensi
Stroke berdasarkan terdiagnosis nakes dan gejala tertinggi terdapat di
Sulawesi Selatan (17,9‰), DI Yogyakarta (16,9‰), Sulawesi Tengah
(16,6‰), diikuti Jawa Timur sebesar 16 per mil.
Prevalensi penyakit stroke pada kelompok yang didiagnosis nakes serta yang
didiagnosis nakes atau gejala meningkat seiring dengan bertambahnya umur,
tertinggi pada umur ≥75 tahun (43,1‰ dan 67,0‰). Prevalensi stroke yang
terdiagnosis nakes maupun berdasarkan diagnosis atau gejala sama tinggi pada
laki-laki dan perempuan.
Prevalensi stroke cenderung lebih tinggi pada masyarakat dengan pendidikan
rendah baik yang didiagnosis nakes (16,5‰) maupun diagnosis nakes atau gejala
(32,8‰). Prevalensi stroke di kota lebih tinggi dari di desa, baik berdasarkan
diagnosis nakes (8,2‰) maupun berdasarkan diagnosis nakes atau gejala
(12,7‰). Prevalensi lebih tinggi pada masyarakat yang tidak bekerja baik yang
didiagnosis nakes (11,4‰) maupun yang didiagnosis nakes atau gejala (18‰).
Prevalensi stroke berdasarkan diagnosis atau gejala lebih tinggi pada kuintil indeks
kepemilikan terbawah dan menengah bawah masing masing 13,1 dan 12,6 per mil.
Faktor Resiko

Faktor Kesehatan

Faktor Gaya Hidup

Faktor Lain yang Berhubungan dengan

Stroke
Faktor Resiko Kesehatan (dapat diubah)
Hipertensi
tekanan darah yang terlalu tinggi
dapat membuat pembuluh darah
di otak menjadi pecah lalu
terjadilah stroke
Diabetes
suatu kondisi yang menyebabkan
gula darah yang tinggi yang
seharusnya gula tersebut masuk
ke dalam sel-sel tubuh.
Kolesterol
kolesterol tinggi dalam darah
dapat membangun timbunan
lemak (plak) pada dinding
pembuluh darah.
Penyakit Jantung
dapat membentuk penggumpalan
darah yang dapat menyumbat
pembuluh darah di otak lalu
menyebabkan stroke.
 Faktor Gaya Hidup
Place Your Picture Here
Merokok
hal ini dapat melukai pembuluh
darah dan mempercepat
pengerasan arteri. Karbon
monoksida dalam asap rokok
mengurangi jumlah oksigen
dalam darah. Asap rokok dapat
meningkatkan risiko stroke
dibandingkan orang yang tidak
merokok.
Dapat Diubah
Place Your Picture Here Place Your Picture Here
Kurang Aktivitas Kecaduan
Fisik/ Olahraga Alkohol
dapat meningkatkan berat minum terlalu banyak
badan, yang dapat alkohol dapat
menyebabkan peningkatan meningkatkan tekanan
tekanan darah dan kadar darah, yang meningkatkan
kolesterol. Ketidakaktifan juga risiko stroke
merupakan faktor risiko untuk
diabetes, yang semuanya
merupakan faktor resiko
stroke.
Faktor lain yang berhubungan dengan stroke
Tidak Dapat DIubah

Faktor Keturunan

jika anggota keluarga pernah mengalami

stroke, maka risiko terkena stroke juga
semakin tinggi. Faktor
keturunan Usia

A B

Usia
dengan bertambahnya usia, seseorang
memiliki risiko stroke lebih tinggi dibandingkan
orang yang lebih muda.
Upaya Pencegahan Stroke
Daftar Pustaka
Arifianto, Aji Seto dkk.2014. Klasifikasi stroke berdasarkan kelainan patologis dengan Learning Vector
Quantization. Diakses di Jurnaleeccis.ub.ac.id pada hari Minggu, 29 September 2019 pukul 10.00
Ikawati, Z., 2014, Farmakoterapi Penyakit Sistem Syaraf Pusat. Yogyakarta: Bursa You can Ilmu.
simply impress your audience and
add a unique zing and appeal to your
Kemenkes RI. (2013). Riskesdas 2013. 7(5), 803–809. https://doi.org/10.1517/13543784.7.5.803
Presentations. Easy to change colors,
Kemenkes RI. 2016. Faktor Risiko Stroke. http://p2ptm.kemkes.go.id/infographic-p2ptm/stroke/faktor-risiko
photos and Text. Get a modern
PowerPoint Presentation that is
-stroke-yang-bisa-diubah. Diakses pada 28 beautifully designed. You can simply
september 2019 pukul 22.00 WIB. impress your audience and add a unique
zing and appeal to your Presentations.
Kemenkes RI. 2017. Germas Cegah Stroke. http://www.p2ptm.kemkes.go.id/artikel-sehat/germas-cegah-stroke.
Easy to change colors, photos and Text.
Diakses pada 28 september 2019 pukul 23.00 WIB Get a modern PowerPoint Presentation
that is beautifully designed.
Ramadhanis, Ilham. 2012. Hubungan Antara Hipertensi Dan Kejadian Stroke Di Rsud Kraton Kabupaten
Pekalongan. Diakses dari:
https://www.google.com/url?sa=t&source=web&rct=j&url=http://eprints.ums.ac.id/18613/9/BAB_II.pdf&ved
=2ahUKEwjxsLWr7_TkAhWy7HMBHeCJAbMQFjAAegQIBRAB&usg=AOvVaw1fpgHylt14ZHFsDfxZj18w pada
29 september pukul 09.20 WIB.
Sundari, Siti. 2017. Stroke. Diakses dari:
https://www.google.com/url?sa=t&source=web&rct=j&url=http://repository.umy.ac.id/bitstream/handle/1234
56789/11173/6.BAB%2520II.pdf%3Fsequence%3D6%26isAllowed%3Dy&ved=2ahUKEwjQjc3BkvXkAhV
YfSsKHa60AJgQFjACegQIAxAB&usg=AOvVaw18XXi41ejKP3M4yDNLmIKE pada 29 september 2019 pukul
11:20 WIB.
WHO. (2014). Global status report on noncommunicable diseases 2014.
Pertanyaan
You can simply impress your audience and
1. Jika seseorang mengalami penurunan pengelihatan dan mersa lumpuh
add abdibagian
unique zing and appeal to your
tubuh apa yang harus dilakukan? Presentations. Easy to change colors,
photos and Text. Get a modern
a. Cukup dikompres PowerPoint Presentation that is
b. Diistirahtkan saja beautifully designed. You can simply
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c. Segera periksa ke dokter zing and appeal to your Presentations.
Easy to change colors, photos and Text.
Get a modern PowerPoint Presentation
2. Berikut gejala dari stroke, kecuali... that is beautifully designed.
d. Pengelihatan kabur
e. Mengalami pusing yang hebat
f. Tekanan darah rendah

3. Berikut yang bisa dilakukan untuk mendiagnosis penyakit stroke adalah...

g. Analisis urin
h. Doppler transkranial
i. Cystoscopy
Pertanyaan
4. Prognosis stroke dapat dilihat dari 6 aspek yakni kecuali.... You can simply impress your audience and
A. Death add a unique zing and appeal to your
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B. Disease photos and Text. Get a modern
C. Ability PowerPoint Presentation that is
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5. Pengobatan pada penyakit stroke dapat dilakukan dengan terapi nonzing
farmakologi,
and appeal to your Presentations.
Easy to change colors, photos and Text.
berikut ini contoh terapi non farmakologi? Get a modern PowerPoint Presentation
A. Terapi trombolitik that is beautifully designed.
B. Pembedahan
C. Terapi suportif

6. Menurut WHO, berapa juta orang menderita stroke di seluruh dunia?

a. 10 juta
b. 15 juta
c. 5 juta

7. Stroke tertinggi dengan prevalensi 10,8‰ adalah provinsi?

d. Sulawesi Utara
e. Bali
f. DI Yogyakarta
Pertanyaan
You can simply impress your audience and
8. dibawah ini yang termasuk faktor risiko kesehetan yang dapat mempengaruhi
add a unique zing and appeal to your
stroke adalah... Presentations. Easy to change colors,
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a. Merokok PowerPoint Presentation that is
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9. Dibawah ini penyakit yang dapat memicu stroke adalah.. (kecuali) that is beautifully designed.
d. diare
e. Diabetes
f. difteri

10. Manfaat aktivitas fisik atau olahraga secara teratur untuk mencegah stroke,
yaitu.. (kecuali)
g. dapat menurunkan berat badan dan meningkatkan hormone kortisol
h. dapat membuat jantung dan sistem peredaran darah bekerja lebih efisien
i. dapat menurunkan kadar kolesterol dan menjaga berat badan serta tekanan darah
pada tingkat yang sehat.
Pertanyaan
You can simply impress your audience and
1. Jika seseorang mengalami penurunan pengelihatan dan mersa lumpuh add abdibagian
unique zing and appeal to your
tubuh apa yang harus dilakukan? Presentations. Easy to change colors,
photos and Text. Get a modern
a. Cukup dikompres PowerPoint Presentation that is
b. Diistirahtkan saja beautifully designed. You can simply
impress your audience and add a unique
c. Segera periksa ke dokter zing and appeal to your Presentations.
d. Minum banyak air putih Easy to change colors, photos and Text.
Get a modern PowerPoint Presentation
2. Berikut gejala dari stroke, kecuali... that is beautifully designed.
e. Pengelihatan kabur
f. Mengalami pusing yang hebat
g. Tekanan darah rendah
h. Salah satu anggota tubuh mengalami kelumpuhan
3. Berikut yang bisa dilakukan untuk mendiagnosis penyakit stroke adalah...
i. Analisis urin
j. Doppler transkranial
k. Cystoscopy
l. Elastography
Thank You
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Presentation
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Get a modern PowerPoint Presentation that is beautifully designed. I hope and I believe
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Contents Here
Get a modern
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Contents Here beautifully designed.
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beautifully designed.

Step 2
Contents Here
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Step 1 PowerPoint
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Get a modern
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 Infographic Style
Contents Title
You can simply impress your audience and add a unique zing
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Contents Title
Place Your You can simply impress your audience and add a unique zing
Picture Here and appeal to your Presentations.

Contents Title
You can simply Contents Title
impress your audience
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and add a unique zing
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Contents Title
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Contents Title
You can simply impress your audience and add a unique zing
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 Infographic Style
You can simply impress your audience and
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Contents Title
Contents Title
You can simply impress your audience
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Presentations.

You can simply impress your audience

and add a unique zing and appeal to your Contents Title
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Contents Title You can simply impress your audience

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your Presentations. I hope and I believe
that this Template will your Time, Money
and Reputation. Easy to change colors,
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PowerPoint Presentation that is
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photos and Text.

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You can Resize without

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You can Change Fill
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www.allppt.com