stroke iai tulungagung qibti2012

7/24/2019 Stroke IAI Tulungagung Qibti2012

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CURRICULUM VITAE

Nama : Mariyatul Qibtiyah, S.Si, Apt, SpFRS

Alamat Rumah : Jl. Mejoyo I / 23 Kaliru!"ut # Surabaya

$elp. %3'()(&3%

*+. %'& %3)3%%

-mail : mibtiyah0yahoo.1omAlamat Kator : Italai Farmai RS4 4r. Soetomo

Jl. Mayje +ro5. 4r. Moetopo 6 7 ' Surabaya

$elp. %3%&'&

Jabata :Sta5 Apote"er Italai Farmai RS44r.Soetomo

Ka. it +elayaa Farmai IRNA Aa"

&


2/41

Ri8ayat +e9i9i"a :

# ulu Sarjaa Farmai#NAIR th &))(

# ulu Apote"er # NAIR th &))

# ulu Speiali Farmai Rumah Sa"it# NAIR th 2%%&

Ri8ayat +e"erjaa :

Sta5 RS4 4r.Soetomo eja" th &))6

Saat ii bertu!a eba!ai :

Super;ior Farmai Klii"

Super;ior +KRS M, ?A@A

4oe tamu pro!ram ma!iter 5armai "lii" NAIR, A4

Ri8ayat r!aiai :

+e!uru *ISFARSI#JA$IM


3/41

Auha Ke5armaia

Maajeme Stro"e


4/41

!iri

!anan

L"gi#Matemati#

$akta

Irama%Suara

&arna

'ertan(a

!reati)ita#

*era#aan

Imagina#i


5/41

ERAHHIJAUBIRUHITA

UNGU KUNING PUTIHBIRU

COKELAT ERAHHIJAU

ORANYEHITA KUNING

BIRU ERAHHITA

COKELATORANYEJINGGA

KUNING PUTIHHIJAU

BIRU


6/41

4ata .....

A!"a "ematia 1u"up ti!!ira"i! 3 20+ uia pro9u"ti5

Setiap tahu era!a tro"e e"itar -uta ora! 9i eluruh 9uia

4i Ameri"a Seri"at, lebih "ura! -utaora! perah me!alami tro"e

4i I!!ri, ter9apat 20 ribu ora! hi9up9e!a "e1a1ata "area tro"e

4i Aia I9oeia, etiap tahu

9iper"ira"a lebih 00 ribu ora!me!alami era!a tro"e

Rei"o Stro"e berula! 3%#(C 9alam8a"tu th

6


7/41

Cerebrum 7 itelle1t, pee1h, emotio, eory,mo;emet

Cerebellum7 bala1e, 1o#or9iatio'rain #tem 7 repiratio, heart rate, bloo9 preure,8a"e5ule

Cerebrum # le5t hemiphere 7 pee1h a9 la!ua!e

D


8/41

*o8 9o you "o8 i5 omeoe iha;i! a tro"eE

'


9/41

Stro"e(WHO e!nition"

A neurological de!cit (usually loss of function"caused by reduction in blood supply to the brain#

$his is usually because a blood %essel bursts oris bloc&ed by a clot# $his a'ects the supply ofoygen and nutrients) causing damage to thebrain tissue.

)


10/41

I#tila. Transient Ischaemic Attack (TIA)7 #erangan

"tak i#kemik #epinta# /SS1: 4eit eurolo!i"5o"al terja9i me9a9a" 9a pulih 9alam 8a"tu"ura! 9ari 2( jam


11/41

iagn"#i#

&&


12/41

Cerebralin3ar4t

Cerebral.aem"rr.ag

e

iagn"#i# 5 #tr"ke t(pe

STR!E

CTscan

&2


13/41

&3


14/41

S$RK-

Str"ke i#kemik

alira9arah "e ota" terheti "areaatero"leroi


15/41

Fa"tor Rei"o

4iabete*yperteio

Smo"i!

i5e tyle4ietBholeterol

*eart 9ieae atrialbrillatio

$raiet i1haemi1 atta1" &


16/41

*rin#ip *eng"batan

Se1o9ary+re;etioA1ute

&6


17/41

A4ute treatment

$hrombolyi

Atiplatelet

Neuroprote"ta

?loo9 preure

*y9ratio

Gy!e ?loo9 !lu1oe

$emperature


18/41

T.r"mb"l(#i# Itra;eou re1ombiat

tiue plamio!e a1ti;ator


19/41

Antiplatelet#

A1etoal &%%#3%% m!/hr 9iberi"a eja"a8al

Blopi9o!rel D m!/hr Kombiai A1etoal 2 m! L 4ipiri9amol

2%% m!


20/41

Antiplatelet#

2%


21/41

Neuroprote"ta

Meli9u!i euro 9ari "ematia el

a"ibat i"emia

4apat 9iberi"a eja" 9ii

Botoh :

Biti1oli +ira1etam

+ro '#Hly )#+ro &% AB$*

2&


22/41

Se4"ndar( *re)enti"n Treatment +e1e!aha tro"e

9imulai maG D hr pa1aera!a a"ut/ $IA

+erubaha !aya hi9up :

Stop Ro"o" lah ra!a teratur

4iet 9a ?? euai

Me!ura!i "oumi!aram

*i9ari al"oholberlebiha

22


23/41

Se4"ndar( *re)enti"n Treatment

Kotrol $e"aa 9arah$erapi atihipertei

Kotrol !ula 9arah$erapi ati9iabet 1e!ah

"ompli"aimi"ro/ma"ro;a"ular

Kotrol "oleterol

1e!ah athero"leroi

$erapi atitromboti" +ea!aa teoi "aroti

Steoi arteri "aroti berat-9artere"tomi "aroti

23


24/41

Se1o9ary +re;etio $reatmet< Atitromboti" =

+emiliha atiplatelet 9ipertimba!"a 5a"tor rii"o,tolerai, "ea9aa "lii

Atiplatelet me!ura!i rii"o tro"e ula! p9 tro"e

i"emi"/ $IA o#"ar9ioemboli"


25/41

Se1o9ary +re;etio $reatmet< Ati"oa!ula =

Ati"oa!ula t9" 9iberi"a ebelumpe1itraa ota" meyi!"ir"a "emu!"ia

per9araha Ati"oa!ula mulai 9iberi"a pa9a pe9erita

9! perite/ paroGymal atrial brilai, "e1ter9apat "otrai9i"ai


26/41

Statin#

Stati e1ara i!i"a

me!ura!i rii"o relati5 tro"ei"emi" ebear 2&C

-5e" terja9i tapa pei!"atahaemorrhagic stro&e

Stati me!ura!i "eja9ia"oroer 9a emua peyebab"ematia

-5e" terja9i terlepa 9ari ti!"at9aar "oleterol


27/41

Stati

Re4"mmendati"n#6

Stati 9ireep"a utu" paie ya! me!alamitro"e i"emi" terlepa 9ari "a9ar "oleterol

&.i4. #tatin7

Sim;atati (% m! 7 hi!h ri" 1oroary e;et

Ator;atati '% m! 7 $IA / i1haemi1 tro"e

Shoul9 ot be ue9 i patiet 8ith a prior hitory o5itra1erebral haemorrha!e

2D


28/41

Atihipertei

Sa!at berhubu!a, pe!ura!a $4 9a pe1e!aha primertro"e

E)iden4eSytemati1 re;ie8


29/41

Se1o9ary +re;etio o5 I1haemi1 Stro"e

Apiri L 4ipyri9amole or Blopi9o!rel Dm! ar5ari


30/41

(dr"9(gen *lu# 6 arapan'aru 'agi Str"ke

?ear"ah E +ei!"ata jumlah

"i!e ota"perbai"a

5u!i ota" Atio"i9a

"uatmeetraliir ra9i"albeba

Me!ura!i pla" peyebabpeyumbata pembuluh9arah

Mampu memperbai"iprol lema" 9arah


31/41

*.arma4i#t R"le

+harma1euti1al 1are+ubli1 health, e9u1atio a9i5ormatioReear1hMulti9i1ipliary team memberhip


32/41

*.arma4euti4al Care

+emberia i5ormai "epa9apaie

Keiambu!a pera8ata

Me!ura!i "ealahape!obata


33/41

4iability

4yphaia Aphaia

4ypha!ia Apha!ia

*emiparei

*emiple!i1

*emiaopia

?i1ara

Meela

Kelemaha

Kelumpuha

Keulita Oiual

33


34/41

+harma1euti1al Bare Iue

Spee1h

Bompreheio

S8allo8

Bommui1atio/1ouelli!

Barer

Ability to ta"e

me9i1ieapiratio ri" a9liui9

5ormulatio

bioa;ailability e!pheytoi

NH a9 +-H tube5ee9i!

3(


35/41

+harma1euti1al Bare Iue

&eakne## "rparal(#i#

Oiual problem

Ability to operate9e;i1e

ihaler, iuli

Ability to ope1otaier

Ability to rea9itru1tio

label, leaPet, 1hart

3


36/41

+ubli1 *ealth, e9u1atio a9i5ormatio

A8aree a9 promotio

+ubli1 *ealth 1ampai!

Ri" 5a1tor a1tio to ta"e

Stro"e I9eti1atio$AST te#t

i5etyle a9;i1e mo"i!, 8ei!htlo/9iet, ;itami

36


37/41

>hat i $AST E

$ a4ial :eakne## ?ia eyumE Ko9ii mata 9a mulut E

A rm :eakne## ?ia me!a!"at "e9ua

le!a E

S pee4. pr"blem# ?ia bi1ara jela 9a

memahami apa ya! a9a"ata"a E

T e#t 5 all 3


38/41

Reear1h

Au9it reep terha9ap "epatuha pe9oma tro"e, me#9eai 9a e;aluai mo9el pelayaa 5armai

-;aluai reep e1ara prope"ti5 pa9a paie 9i uit

tro"e terha9ap pe9oma 9a pe!emba!a re1aaauha "e5armaia

-;aluai reep e1ara retrope1ti;e pa9a paie ya!

ama

Me!i"uti per"emba!a paie etelah KRS utu"pera8ata 9i luar RS

3'


39/41

Multi9i1ipliary team memberhip

SIHN 7 S1ottihIter1olle!iate Net8or"

Maa!e9 Blii1al Net8or"5or Stro"e


40/41

IAI...IAI....

I"ata Apote"er I9oeiaSampe" tu8e"... ampe" ele"....

$etap hebat 9a ema!atepaja! maa

IAI Ja8a $imur..... *ebat...

IAI $ulu!a!u!..... 4ayat...(%


41/41

$ime i ?rai

. k

stroke iai tulungagung qibti2012

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