disfagia
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Rabbi Natiqah
0610710105
Pembimbing : dr. Masruroh Rahayu, M.Kes
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Definisiy A sal bahasa latin dan
yunani
y Disfagia : kesulitanmenelan, karena gangguansaraf, otot, atau saluran yang berperan saat
menelan.y Komplikasi : A spirasi,
pneumonis, malnutrisi,dehidrasi.
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Epidemiologi
Disfagianeurologis :
400.000-800.000
di dunia
Stroke iskemik
50% pasiendengan stroke
kortikal
40%
Pneumonia
6% aspirasi
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P
re
v
a
l
e
n
s
i
Stroke 65%
Traumatic brain injury 25%-61%
Cervical spine surgery
Carotid endarterectomy
50%
2.5% -42%
Alzheimer's dementia 32% -84%
Frontotemporal dementia 30%
Parkinson's disease 50% -63%
Progressive supranuclear palsy Initially: 16%, later stages: 83%
Olivopontocerebellar atrophy 44% -75%
Huntington's disease 85%
Multiple sclerosis 34%
Amyotrophic lateral sclerosis 100%
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Anatomi
Otot
Saraf
Organ
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Organ
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Otot
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Saraf
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Fisiologimenelan
y ase Oral
yFase Faringeal
yFase Oesofageal
A B
CD
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Etiologi Stroke
Traumatik Brain Injury Neurologis
Striktur Oesofagus
Tumor OesofagusMekanik
Distrofi otot tertentu
Myasteneia grafisNeuromuscular
Usia
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Saraf Central
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Saraf Cranialis
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Klasifikasi
Oesofageal
Faringeal
Oral
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Tanda
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Algoritma Diagnosis
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Pemeriksaan
yPemeriksan neurologis (central, cranialis)
yEvaluasi elevasi faringealyReflek gag
y A uskultasi cervical
y VideofluoroskopiyFiberoptic endoscopic evaluation of
swallowing
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