Download - SPONDILITIS
![Page 1: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/1.jpg)
SPONDILITIS
Dibagi menjadi 2 yaitu :
1. Spondilitis ankilosing / Spondilitis reumatoid
2. Spondilitis tuberkulosa / pott
![Page 2: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/2.jpg)
SPONDILITIS ANKILOSING
Inflamasi kronis terutama mengenai sendi tulang belakang & sendi sakro
iliaka
![Page 3: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/3.jpg)
INSIDEN
• Kelompok umur 15-25 tahun.pria lebih banyak.
ETIOLOGI
• Genetik• Sering bersamaan dg kolitis
ulseratif & sindrom reiter
![Page 4: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/4.jpg)
PATOGENESIS
Inflamasi + infiltrasi
Jaringan granulasi +
erosi jar.fibrosa
Osifikasi ankilosis
sendi
![Page 5: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/5.jpg)
![Page 6: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/6.jpg)
KLINIS- Nyeri samar tl.belakang (dari leher dada ) selama beberapa tahun
- Nyeri terutama pagi hari/ setelah istirahat
- Kekakuan pd tl.belakang.
- Gangguan ekstensi tl.belakang
- Gangguan ekspansi rongga dada ketika inspirasi
![Page 7: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/7.jpg)
![Page 8: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/8.jpg)
PEMERIKSAAN RADIOLOGIS
![Page 9: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/9.jpg)
Lab
• Reumatoid faktor (–)
• LED >>>
Pengobatan
• Fisioterapi untuk cegah deformitas
• Terapi okupasi
Pd keadaan
lanjut• Osteo-
tomi tl.blkg
• Ggn deformitas artroplasti panggul
![Page 10: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/10.jpg)
Peradangan granulomatosa yg bersifat kronik destruktif oleh mikobakterium tuberkulosa
SPONDILITIS TUBERKULOSA
![Page 11: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/11.jpg)
INSIDEN
• Kelompok umur 2 – 10 th
FAKTOR RESIKO
• Sejarah kontak dg penderita TBC +
• Tulang yg mempunyai mobilitas >>>
![Page 12: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/12.jpg)
PATOFISIOLOGI
![Page 13: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/13.jpg)
KLINIS- gejala TBC (lesu, nafsu makan & BB <<<, subfebril terutama malam hari )- sakit pd punggung
PEMERIKSAAN FISIKLook : deformitas berupa gibbus adanya abses ( cold abcess )Feel : Teraba tnjolan di tulang belakang, adanya fluktuasi abses, gangguan sensorisMove : Terbatasnya gerak tulang, Berkurangnya kekuatan otot
![Page 14: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/14.jpg)
LABORATORIUM: - LED meningkat- Mantoux test (+)- Biopsi jarum- pemeriksaan histopatologis dpt ditemukan tuberkel
RADIOLOGIS- foto polos vertebra : ada osteoporosis.- foto AP : abses paravertebral di daerah servikal bird nest- stadium lanjut destruksi vertebra kifosis- mielografi (jika ada gejala penekanan sumsum tulang- CT Scan / MRI
![Page 15: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/15.jpg)
RADIOLOGIS foto polos vertebra
![Page 16: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/16.jpg)
PENGOBATAN
1. konservatif- bed rest- obat anti tuberkulosa
2. Operatif- Bila terdapat cold abses, lesi tuberkulosa, paraplegia,kifosis
![Page 17: SPONDILITIS](https://reader034.vdokumen.com/reader034/viewer/2022042821/563dbb5d550346aa9aac8052/html5/thumbnails/17.jpg)
DAFTAR PUSTAKA
1. Reksopredjo, Soelarto. Kumpulan Kuliah Ilmu Bedah. Jakarta : Binarupa Aksara .2. Dejong, Wim . 1996. Buku Ajar ilmu bedah. Edisi Revisi. Jakarta . EGC3. http://www.scribd.com/doc/26812884 4. http://health.detik.com/read/2009/11/23/154829/1247156/770/osteomyelitis