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UKKI MODUL THT LBM 2 2016

SGD LBM 2

STEP 1

-

STEP 2

1. Apa saja organ !s!"#$angan%2. Baga"#ana &s"o'og" (ar" !s!"#$angan%). A(aa* *+$+ngan #!#$a,a no!' (an ja'an ang $!r!'o-!'o (!ngan

!'+*an%/. M!ngapa &r" #!rasa p+s"ng #+a' (an !'+ar !r"nga ("ng"n%. Apa saja *a' ang #!#p!ngar+*" !s!"#$angan +$+*%6. Apa saja gangg+an !s!"#$angan%3. Baga"#ana #!an"s#! o$a an" #a$+ (an s!$+an ,ono* o$ana4

5. Apa DD (ar" s!nar"o%. P!#!r"saan p!n+njang +n+ gangg+an !s!"#$angan%

STEP )

1. Apa saja organ !s!"#$angan%La$"r"n+s os!a7 (++s s!#" s"r+'ar"sM!#$rana os!a7 sa+'+s +r"+'+s o'!arD++s s!#"s"r+'ar"s7 'a!ra' pos!r"or an!r"orSa+'+s7 ++ran '!$"* $!sar (ar" +r"+'+s !r'!a (" (a'a# r!"+s.

B!r'anj+ ! (++s.Baas !s"$+'+# 'a!ra'7 !n!sra !s"$+'" an!r"or "n8!r"or ("$aas" o'!*

#a+'a.A(a p!'!$aran ang ("s!$+ a#p+'a (an !r(apa s!' s!' ra#$+ ("

(a'a#na. T!r(apa r"sa a#p+'ar"s (an +p+'a. 9+ngs"na +n+ roas".

:a"ran !n(o (an p!r"'"#8! aan $!rg!ra s!*"ngga #!n!$a$an "#p+'s

! oa.D" +r"+'+s (an sa+'+s a(a s!' ra#$+ (" aasna a(a ;a g!'a"nosa (an

!r(apa oo'"* (" (a'a#na !r$!n+ o'!* a's"+# ar$ona. M!#p+na"

8+ngs" sp!s"& +n+ as!'!r!sas" (!s!'!r!sas".P!rg!raan oo'"*

("p!ngar+*" o'!* gra"as".

Organ !s!"#$angan p+sa%S!nsor"7 $ag"an (ar" !'"nga (a'a#.Organ !s!"#$angan7 #aa prop"os!p" !s"$+'+#. Aan #!ngara* !

s!r!$!'+# ("$ag"an '"#$" aan ("o'a* s!*"ngga aan #!ng!a*+" pos"s"

"a a(a ("s!$!'a* #ana s!ra aan $!roor("nas" (!ngan s"s!#

#+s+'os!'!a'.H+$+ngan r!

L!a ana'"s s!#" s"r+'ar"s ! organ o+'+s. "s+a'C

SIMA@GBEOK 1

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B"sa $!r*+$+ngan (!ngan #!(+'a sp"na'"s +n+ !sa(aran.?"s+a' p!ng'"*aan ("$an+ #!#8o+san (!ngan r!

2. Baga"#ana &s"o'og" (ar" !s!"#$angan%TransduksiA(a p!rg!raan #!nga"8an g!'o#$ang (" !n(o'"#8! p!rg!raan

!n(o'"#8!#!n!+na s"'"a #!n"ngaan p!r#!a$"'"as a'"+#

#as+ ! "nras!' (!po'ar"sas" #!#",+ n!+rorans#"!rTransmisi@!+rorans#"!r #!n!r+san ! p+sa !s!"#$angan (" oa 'a'+ !rja("

#o(+'as" (" oa> or!s pr!8rona' '"#$".Pengaturan di kanalis semisirkularis:!n(!r+ng g!raan $!rp+ar roas"C ,ono*7 #!n!ngo anan-"r" j+ng"r

$a'".D" +j+ng (ar" s!#"s"r+'ar"s !r(apa a#p+'a ("(a'a#na !r(apa

"nos"'"a (an s!ros"'"as!p!r" ana anggaC.K+p+'a ("aasna !r(apa !n(o'"#8!. K!"a "a $!rg!ra!n(o'"#8!

$!r8g!ra s"'"a $!rg!ra ! ara* ang $!r'aanan. ="a g!raan !r+s

#!n!r+s (a'a# g!raan ang sa#a s"'"a $!rg!ra s!ara*.D!po'ar"sas"7 g!raan "nos"'"a $!rg!ra s!ara* $!r'aanan

*"p!rpo'ar"sas".Di utrikulus dan sakulusB!r*+$+ngan (!ngan gra"as" ,ono* ! aas (an !$aa*.

T!r(apa oo'"* ang aan #!n!+ s"'"a.Aa'7 $!rg!ra $!r'aanan ara*. S!#a"n 'a#a7 s!ara*.Ur",+'+s sa,+'+s F $!r8+ngs" +n+ as!'!ras"(an (!s!'!ras" oo'" $!ra(a

(" (a'a# (!ngan #!rasaanK!"a $!ra (" '+ar angasa #aa oo'" $!ra(a (" !nga*-!nga*Kana'"s s!#"s"r+'ar" s F !"a (a'a# pos"s" ("a# s!' sara8 !ap

!r!s"as" (!ngan 8r!+!ns" sa#a !"a #!no'!* ! anan 8r!+!ns"

'a#$a !"a #!no'!* ! ara* $!r'aanan $s #!rasaan ar!na

("p!r,!pa.Inp+ s!nsor" "np+ "n!gras" o+p+ #oor" !s!"#$angan.?!s"$+'ar roas" g!raan '"n"!r spa"a' aarn!ss !+"'"$r"+#C

,!r!$!'+#> a+r r!g+'as" pos+r g!raan (an !s!"#$angan !s"$+'o-o,+'ar r!

). A(aa* *+$+ngan #!#$a,a no!' (an ja'an ang $!r!'o-!'o (!ngan

!'+*an p+s"ng #+a' (an !'+ar !r"nga ("ng"nC%Ma$+ saa #!#$a,a $++ !"a (a'a# p!rja'anan !rja(" ar!na a(ana

p!r$!(aan pr!s!ps"> (aa "s+a' (an s"s!# +$+*.Ma$+7 #aa #!nganggap pos"s" +$+* ("a# +$+* #!nganggap pos"s"

+$+* "a $!rg!ra.Kar!na a(ana 2 pr!s!ps" ang $!r$!(a. Un+ #!ng*"n(ar"na

("saranan +n+ #!'"*a ! j!n(!'a saa $!rg!ra (" !n(araan.

K!'+ar !r"nga ("ng"n aan #!rangsang apa%

SIMA@GBEOK 2

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M+a':T.P+s"ng &s"o'og"s7 #o"on s",n!ss.Pan(angan s!"ar $!r$!(a (!ngan pos"s" +$+* "#p+'s ! SSP.

Mas+an ang $!r$!(a aan #!rangsang :T ang $!ra(a (" SSP.

D"s!$!'a* #ana '!ana%T!rja(" #a'8+ngs" sara8n!+roos" !'"#"nas" n!+roos" o'!* :T ("

n.ag+s $aang oa.M+na* pro!"'.:T $"sa ("rangsang o'!* $!$!rapa ;a s!p!r" *or#ona' ,ono*na *,g

(an o$a-o$aan ang #!ngan(+ng !srog!n.:T !r'!a (" $aa* !nr"!' oa.S!!'a* :T ("rangsang aan #!ng!'+aran apa%D" 'a#$+ng a(a r!s!por *"sa#"n H2C #+ng"n :T a(a r!s!por

*"sa#"n. O$a ("8!n*"(r"na a(a'a* an" *"sa#"n ang ("g+naan pa(a

orang #a$+./. Apa saja *a' ang #!#p!ngar+*" !s!"#$angan +$+*%

P+sa gra"as"7 +n+ #!n("sr"$+s"an #asa $!n(a s!,ara #!raa.

Gar"s gra"as"7 gar"s !r"a' #!'a'+" p+sa gra"as".

B"(ang +#p+7 $ag"an +$+* ang $!r*+$+ngan (!ngan $ag"an

+#p+an. K!+aan oo7 D"*as"'an o'!* onras" #as"#a' (ar" oo.

Berdasarkan organ?"s+a'7 #aa j+'"ng $aangan gan(a #!#p!ngar+*" pr!s!ps"

!s!"#$angan !rgangg+?!s"$+'ar7 a(a gangg+an (" $ag"an !s"$+'ar #!nggangg+.

:ono* na" a*ana $!r#a"n o""s #!("a o#p'"as" *"p!r!ns"a(ana a!ros'!ros"s ("....

Ton+s oo7 !'+#p+*an#!#p!ngar+*" !s!"#$angan.P+sa7 A(a gangg+an (" oa. :ono* TIK ang "ngg".So#aos!nsor" j+ga $!rp!ngar+* (a'a# #!#p!ra*anan pos"s"

+$+* +#p+an +$+* prop"os!p"C.. Apa saja gangg+an !s!"#$angan%

P!n!$a$7 "n8!s" "r+s $a!r" !+aan oo !g!#+an ra+#a

!pa'a gangg+an s"r+'as" ang #!#p!ngar+*" !'"nga (a'a# +s"sa

gangg+an 'a$"r"n" gangg+an !s"$+'ar $ag"an !nga*.

6. Baga"#ana #!an"s#! o$a an" #a$+ (an s!$+an ,ono* o$ana4An"-*"sa#"n #!ng+rang" #+a' #+na* g!ja'aC. :ono*7 ("8!n*"(r"na

$!a *"s"("n +n+ !r"goC.P!r'+ ("$!r"an an"-#+a'% T!rgan+ng a+sa.

="a #a$+na ar!na g!raan ang ("$!r"an o$a s"#o#a"na.L!ngap" #!an"s#! !rja4@on-8ar#ao'og"7 #!'"*a ! j!n(!'a saa (" !n(araan "(a #!#$a,a ("

(a'a# !n(araan #!'"*a ! sa+ "" 8o+s. ="a s+(a* #+a'7 +$a* pos"s"

(+(+ /-6 (!raja s!!nga* (+(+C (apa #!ng+rang" rasa #+a'.3. Apa DD (ar" s!nar"o%

Mo"on s",n!ss

?!r"go p!r"8!r

SIMA@GBEOK )

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?!r"go ,!nra'D";;"n!ss7

9"s"o'og"sP+s"ng g!raan> prooas" s"#o#.

P+s"ng gra"as".P+s"ng !"ngg"an

Pao'og"so ?!s"$+'ar

P!r"8!rLa$"r"n7 BPP?'!$"r"n"sP!rsara8an !s"$+'ar7 @!+r""s

:!nra'7 "n8ar $aang oa #!n"ng""s !p"'!ps"o @on-!s"$+'ar

S"nop ar!na *"po!ns" pos+ra'Par"nson ("s+"'"$r"+#C

Ps""s

?!r"go a(a'a* sp!r+# '+as (ar" (";;"n!ss.

5. P!#!r"saan p!n+njang +n+ gangg+an !s!"#$angan% U#+#7 s!(!r*ana. B!rja'an $!rja'an j"nj"

$!rja'an (!ngan +#". K*+s+s7 o#$!rg !s po"n-o-po"n !s a'or"

!'"nga ("$!r" "n!r!ns" panas // (!raja

,!',"+s-("ng"n )0 (!raja ,!',"+s. @or#a'7 +rang

(ar" 0 s+(a* !#$a'"C !s o$ra #!n!+!pa'a ! anan-"r"C

DD ("$+a a$!' (an ("+'"s ,"r" *asna.

STEP /

SIMA@GBEOK /

S"s!#

!s!"#$anga

?"s+a'?!s"$+'ar7,!nra' (an

p!r"8!r

Anao#" (an

9"s"o'og"

rans(+s" (an

Gangg+an

!s!"#$ang

PJ.p!n+njang7

+#+# (an

*+s+s

DD (an

D"agnos"s

T!rap"

P!n!$a$

gangg+an

!s!"#$angan

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STEP 3

1. Apa saja organ !s!"#$angan%

1.

BAGIAN PERIFERKANAN & KIRI

BAGIAN SENTRAL

1. VESTIBL! ) r"sa a#p+'ar"s2 organ oo'"" #a+'a

@+'!" !s"$+'ar"s $aangoa

S!r!$!'+# 9or#a"o r!"+'ar"s $aang

oa 'o+s s!r+'!+sC S"s!# '"#$" Kor!s pr!8rona' H"poa'a#+s

"# VISAL !s!por (" r!"na

$#PR%PRI%SEPSI

!s!por propr"os!ps" ("!n(on s!n("s!ns"$"'"as (a'a#

SIMA@GBEOK

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%RGAN KESEI!BANGAN- A'a !s"$+'!r a'a !s!"#$angan C- !r'!a (" !'"nga (a'a# 'a$"r"nC !r'"n(+ng o'!* +'ang g pa"ng !ras

g ("#"'"" o'!* +$+*

SIMA@GBEOK 6

A+r"s "n!rna

La$r"n+s oss!a

La$"r"n

sa"s

La$"r"n+s

#!#$rana,!a

La$r"n+s,o,*'!ar"s

La$r"n+s!s"$+'ar"s

A'a !s!"#$angan

+$+*

La$"r"n

"n!"

!s"$+'+# :ana'"s

s!#","r,+'ar"s

K!s!"#$angan

s!nra'

K!s!"#$angan

p!r"8!r

s!r!$!''+#

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D"#ana s!,ara anao#" 8+ngs" !s!"#$angan pa(a !'"nga $ag"an (a'a#

$!ra(a (" tulang lairin' (ang terdiri dari- agian )estiuler *kanalis semisirkularis' utri+ulus' sa++ulus,

dan- agian koklea#

D!r"a !s"!' o"a "n" #!#$!n+ s+a+ rongga !r++p a"+ 'a$"r"n

#!#$ran $!r"s" endolim-e,sa+-sa+na ,a"ran !sras!'+'ar (a'a#

+$+* ang "ngg" a'"+# (an r!n(a* nar"+#.

La$"r"n #!#$ran ("!'"'"ng" o'!* ,a"ran .erilim-e "ngg" nar"+# r!n(a*

a'"+#C ang !r(apa (a'a# ka.sul otika ertulang.

trikulus dan sakulus mengandung makula (ang dili.uti

ole/ sel0sel ramut#M!n++p" s!'-s!' ra#$+ "n" a(a'a* s+a+ la.isan

gelatinosa (ang ditemus ole/ silia dan .ada la.isan ini terda.at

.ula otolit (ang mengan dung kalsium dan dengan erat 1enis

(ang lei/ esar dari.ada endolim-e# Karena .engaru/ gra)itasi'

maka ga(a dari otolit akan memengkokkan silia sel0sel ramut

dan menimulkan rangsangan .ada rese.tor#Sa+'+s $!r*+$+ngan

(!ngan +r"+'+s #!'a'+" s+a+ (++s ang s!#p" ang j+ga #!r+paan

sa'+ran #!n+j+ sa+s !n(o'"#8a"+s. Ma+'a +r"+'+s !r'!a pa(a

$"(ang ang !ga '+r+s !r*a(ap #a+'a sa+'+s.Ketiga kanalis semisirkularis ermuara .ada utrikulus#

Mas"ng-#as"ng ana'"s #!#p+na" s+a+ +j+ng ang #!'!$ar #!#$!n+

a#p+'a (an #!ngan(+ng s!'-s!' ra#$+ r"sa. S!'- s!' ra#$+ #!nonjo'

pa(a pa(a s+a+ +p+'a g!'a"nosa. G!raan !n(o'"#8! (a'a# ana'"s

SIMA@GBEOK 3

+r",+'+

ssa,,+'+

s

!s!por

!r'!a ("

'ana" (ar"

sa,,+'+s

!s!por

!r'!a ("

("n("ng

As!'!ras" '"n"!r

(an gra"as"

As!'!ras"

ang+'!r roas"

!pa'a

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s!#"s"r+'ar"s aan #!ngg!raan +p+'a ang s!'anj+na aan

#!#$!ngoan s"'"a s!'-s!' ra#$+ r"sa (an #!rangsang s!' r!s!por.

!s!por :ana'"s s!#","r,+'ar"s s!' ra#$+ s!r!os"'"a C

!s!por pa(a !s"$+'+# s!' ra#$+ !nos"'"a (an s!r!os"'"aC

=a'+r sara8 ang ("'a'+" ("#+'a" (ar" n!r+s-n!r+s (ar" +r",+'+s sa,+'+s (an

ana'"s s!#"s"r+'ar"s #!#$!n+ s+a+ ganglion )estiularis. 2alur

keseimangan teragi " neuron3

n!+ron ! 1> S!'-s!' $"po'ar (ar" gang'"on !s"$+'ar"s. @!+r"-n!+r" #!#$!n+

@. ?!s"$+'ar"s (ar" @. ?!s"$+'o,o,*'!ar"s pa(a (asar '"ang p!n(!ngaran (a'a#

(an #!n+j+ n+'!" !s"$+'ar"s. @+'!" ! 2 (ar" @+,'!+s !s"$+'ar"s 'a!ra'"s "n"

SIMA@GBEOK 5

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D!"!rsC !'+ar s!ra$+-s!ra$+ ang #!n+j+ 9or#a"o r!"+'ar"s ! "n"-"n"

#oor" sara8 oa ! III I? (an ? #!'a'+" 9as,",+'+s 'ong"+("na'"s #!("a'"sC !

@+,'!" +$!r (an s!$aga" Tra,+s !s"$+'osp"na'"s ("(a'a# $aang(!pan (ar"

s+#s+# +'ang $!'aang. Dar" @+,'!" !s"$+'ar"s #!("a'"s "n" S,*a$'!C (an

@+,'!+s !s"$+'ar"s "n8!r"or "n" o''!rC #+n,+' $ag"an-$ag"an Tra,+s

!("$+'osp"na' (an *+$+ngan-*+$+ngan !ara* 9or#a"o !"+'ar"s. @+,'!+s

!s"$+'ar"s s+p!r"or "n" B!,*!r!C #!ng"r"#an anara 'a"n s!ra$+-s!ra$+

+n+ oa !,"'.

Sumer 4 Buku Ajar Ilmu Kesehatan Telinga, Hidung, Tenggorok,

Kepala dan Leher, ed 6, FKUI : 2!

2. Koor("nas" anara p!ng'"*aan (an s"s!# p!ng'"*aan%). Baga"#ana &s"o'og" (ar" !s!"#$angan%

S!'a"n p!ranna (a'a# p!n(!ngaran ang $!rgan+ng pa(a o'!a

!'"nga (a'a# #!#"'"" kom.onen k/usus lain a"+ apara+s

!s"$+'ar"s ang #!#$!r"an "n8or#as" ang p!n"ng +n+ s!nsas"

!s!"#$angan (an +n+ oor("nas" g!raan g!raan !pa'a (!ngan

g!raan g!raan #aa (an pos+r +$+*. Apara+s !s"$+'ar"s !r("r"

(ar" dua set struktur ang !r'!a (" (a'a# tulang tem.oralis di

dekat koklea0 kanalis semisirkularis * +rista am.ularis , dan

makula dari organ otolit' (aitu utrikulus dan sarkulus#

Apar+s !s"$+'ar"s mendeteksi .erua/an .osisi dan gerakan

ke.ala#se.erti di koklea' semua kom.onen a.aratus )estiularis

mengandung endolim-e dan dikelilingi ole/ .erilim-e# =+ga s!r+pa

(!ngan organ or" o#pon!n !s"$+'!r #as"ng #as"ng #!ngan(+ng

s!' ra#$+ ang $!r!spon !r*a(ap p!r+$a*an $!n+ #!an"s ang

(",!+san o'!* g!raan g!raan sp!s"& !n(o'"#8!. S!p!r" s!' s!'

ra#$+ a+("or"+sr!s!por !s"$+'ar"s j+ga (apa #!nga'a#" (!po'ar"sas"

aa+ *"p!rpo'ar"sas" !rgan+ng pa(a ara* g!raan ,a"ran. @a#+n "(a

SIMA@GBEOK

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s!p!r" s"s!# p!n(!ngaran s!$ag"an $!sar "n8or#as" ang ("*as"'an o'!*

s"s!# !s"$+'ar"s "(a #!n,apa" "ngaa !sa(aran.

Kanalis semisirkularis

- #!n(!!s" as!'!ras" aa+ (!s!'!ras" ang+'!r aa+ roas"ona' !pa'a

#"sa'na !"a #!#+'a" aa+ $!r*!n" $!rp+ar $!rj+ng"r $a'" aa+

#!#+ar !pa'a.- T"ap "ap !'"nga #!#"'"" ) ana'"s s!#"s"r+'ar"s ang s!,ara "ga

("#!ns" !rs+s+n (a'a# $"(ang $"(ang ang !ga '+r+s sa+ sa#a

'a"n. S!'- s!' ra#$+ r!s!p"8 (" s!"ap ana'"s s!#"s"r+'ar"s !r'!a ("

aas s+a+ $+$+ngan r"(g! C ang !r'!a (" a#p+'a s+a+

p!#$!saran ("panga' ana'"s.

- Ramut 5 ramut terenam dalam suatu la.isan gelatinosa

se.erti to.i diatasn(a (aitu ku.ula (ang menon1ol kedalam

endolim-e di dalam am.ula. K+p+'a $!rgoang s!s+a" ara* g!raan

,a"ran s!p!r" gangang 'a+ ang #!ng"+" ara* g!'o#$ang a"r.- Pa(a ana'"s s!#"s"r+'ar"s po'ar"sas" sa#a pa(a s!'+r+* s!' ra#$+

pa(a "ap ana'"s (an pa(a roas" s!'-s!' (apa !r!s"as" (an

!r"n*"$"s". K!"ga ana'"s "n" *a#p"r !ga '+r+s sa+ (!ngan 'a"nna

(an #as"ng-#as"ng ana'"s (ar" sa+ !'"nga !r'!a *a#p"r pa(a

$"(ang ang sa#a (!ngan ana'"s !'"nga sa+na.- D!ngan (!#""an !r(apa tiga .asang kanalis> *or"sona' "r"-

*or"sona' anan an!r"or "r"-pos!r"or anan pos!r"or "r" an!r"or

anan.- Pa(a a+ roas" sa'a* sa+ (ar" pasangan ana'"s aan !r!s"as"

s!#!nara sa+na aan !r"n*"$"s". M"sa'na $"'a !pa'a pa(a pos"s"

'+r+s nor#a' (an !r(apa p!r,!paan (a'a# $"(ang *or"sona' ang

#!n"#$+'an rotasike kanan #aa serau0seraut a-eren dari

kanalis /orisontal kanan akan tereksitasi s!#!nara serautseraut (ang kiri akan terin/iisi. ="a roas" pa(a $"(ang !r"a'

#"sa'na roas" !(!pan #aa ana'"s an!r"or "r" (an anan !(+a

s"s" aan !r!s"as" s!#!nara ana'"s pos!r"or aan !r"n*"$"s".

P!r'+ ("p!r*a"an $a*a .er+e.atan sudut meru.akan

rangsangan (ang adekuat untuk seraut a-eren kanalis

semisirkularis. S+a+ !,!paan roas" ang onsan "(a aan

#!ng!ss"as" s!ra$+-s!ra$+ !rs!$+. @a#+n !n+na (a'a#

#!n,apa" s+a+ !,!paan !r!n+ *ar+s a(a as!'!ras" (an ("p!ngar+*"

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as!'!ras" "n" aan !r+s $!r+rang *"ngga no' s!!'a* $!$!rapa saa

*"ngga $!$!rapa #!n". K!!r'a#$aan "n" ("s!$a$an o'!* p!ngo'a*an

SSP (an "n!rs"a +p+'a s!ra "sos"as !n(o'"#8! ang #!n!$a$an

+p+'a !r"ngga' ("$!'aang p!r+$a*an s+(+ !pa'a.S!$aga" ,ono* !8!

(ar" p!ng*!n"an #!n(a(a s!!'a* s+a+ roas" ! anan s!ara* jar+#

ja#. P!r'a#$aan #!n+j+ !,!paan no' "n" !+"a'!n (!ngan p!r,!paan

ara* ang $!r'aanan s!ara* jar+# ja#. P!r'a#$aan #!n+j+ !,!paan

no' "n" !+"a'!n (!ngan p!r,!paan !ara* ang $!r'aanan a"+ !"r".

D!ngan (!#""an s!ra$+ a8!r!n (ar" ana'"s "r" aan !r!s"as"

s!(angan s!ra$+ ang anan !r"n*"$"s". B"'a "n" ("'a+an pa(a r+angan

g!'ap #aa s+$j! aan #!rasa $a*a "a $!rp+ar ! "r" s!!'a* +p+'a

!#$a'" pa(a pos"s" "s"ra*a s+$j! aan #!ras $!r*!n" $!rp+ar.

As!'!ras" p!r,!paan C aa+ (!s!'!ras" p!r'a#$aanC s!'a#a

roas" !pa'a ! s!ga'a ara* #!n!$a$an p!rg!raan !n(o'"#8! pa'"ng"(a ("sa'a* sa+ ana'"s s!#"s"r+'ar"s ar!na s+sanan "ga ("#!ns"

ana'"s !rs!$+. K!"a !pa'a #+'a" $!rg!ra sa'+ran +'ang (an

$+$+ngan s!' ra#$+ ang !r$!na# (a'a# +p+'a $!rg!ra #!ng"+"

g!raan !pa'a.na#+n ,a"ran ("(a'a# ana'"s ang "(a #!'!a !

!ngora #+'a #+'a "(a "+ $!rg!ra s!s+a" ara* roas" !ap"

!r"ngga' (" $!'aang ar!na a(ana "n!rs"a !'!#$a#an C. ar!na

"n!rs"a $!n(a ang ("a# aan !ap ("a# (an $!n(a ang $!rg!ra aan

!ap $!rg!ra!,+a'" j"a a(a s+a+ gaa '+ar ang $!!rja pa(ana (an

#!n!$a$an p!r+$a*an.C !"a !n(o'"#8! !r"ngga' saa !pa'a #+'a"

$!rp+ar !n(o'"#8! ang !r'!a s!$"(ang (!ngan g!raan !pa'a pa(a(asarna $!rg!s!r (!ngan ara* ang $!r'aanan (!ngan ara* g!raan

!pa'a s!r+pa (!ngan +$+* an(a ang #"r"ng ! anan s!a+ #o$"'

ang an(a +#pang" $!r$!'o ! "r" C. G!raan ,a"ran "n" #!n!$a$an

+p+'a ,on(ong !ara* ang $!r'aanan (!ngan ara* g!raan !pa'a

#!#$!ngoan ra#$+ ra#$+ s!nsor" ang !r$!na# (" $aa*na.

Apa$"'a g!raan !pa'a $!r'anj+ (a'a# ara* (an g!raan ang sa#a

!n(o'"#8! aan #!n+s+' (an $!rg!ra $!rsa#a !pa'a s!*"ngga ra#$+

ra#$+ !#$a'" ! pos"s" !ga #!r!a. K!"a !pa'a #!'a#$a (an

$!r*!n" !a(aan ang s!$a'"na !rja(". En(o'"#8! s!,ara s"nga

#!'anj+an ("r" $!rg!ra s!ara* (!ngan roas" !pa'a s!#!nara !pa'a#!'a#$a +n+ $!r*!n". A"$ana +p+'a (an ra#$+- ra#$+na

s!,ara s!#!nara #!#$!ngo s!s+a" (!ngan ara* roas" s!#+'a a"+

$!r'aana (!ngan ara* #!r!a #!#$!ngo !"a as!'!ras". Pa(a saa

!n(o'"#8! s!,ara $!ra*ap $!r*!n" ra#$+ ra#$+ !#$a'" !ga.

D!ngan (!#""an ana'"s s!#"s"r+'ar"s #!n(!!s" p!r+$a*an !,!paan

g!raan roas" !pa'a. Kana'"s "(a $!r!spon j"a !pa'a "(a $!rg!ra

aa+ !"a $!rg!ra s!,ara s"r+'!r (!ngan !,!paan !ap.

S!,ara #or8o'og" s!' ra#$+ pa(a ana'"s sanga s!r+pa (!ngan s!'

ra#$+ pa(a organ oo'". a#$+ ra#$+ pa(a s!' ra#$+ !s"$+'ar"s

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!r("r" (ar" 20 -0 s!r!os"'"a a"+ #"ro&'+s ang ("p!r+a o'!* a"n (an

sa+ s"'"+# "nos"'"+#. S!"ap s!' ra#$+ $!ror"!nas" s!(!#""an r+pa

s!*"ngga s!' !rs!$+ #!nga'a#" (!po'ar"sas" !"a s!r!os"'"ana

#!#$!ngo !ara* "nos"'"+#> p!#$!ngoan !ara* ang $!r'aanan

#!n!$a$an *"p!rpo'ar"sas" s!'.s!' s!' ra#$+ #!#$!n+ s"naps ;a

p!ranara "#"a" (!ngan +j+ng +j+ng !r#"na' n!+ron a8!r!n ang

ason asonna #!na+ (!ngan ason sr++r !s"$+'ar"s 'a"n +n+

#!#$!n+ sara8 !s"$+'ar"s.sara8 "n" $!rsa+ (!ngan sara8 a+("or"+s

(ar" o'!a +n+ #!#$!n+ sara8 !s"$+'o o'!ar"s. D!po'ar"sas" s!'

ra#$+ #!n"ngaan !,!paan p!#$!n+an po!ns"a' as" ("s!ra

s!ra a8!r!n> s!$a'"na !"a s!' s!' ra#$+ #!nga'a#"

*"p!rpo'ar"sas" 8r!+!ns" po!ns"a' as" ("s!ra a8!r!n #!n+r+n.

S!#!nara ana'"s s!#"s"r+'ar"s #!#$!r"an "n8or#as" #!ng!na"

p!r+$a*an roas"ona' g!raan !pa'a !pa(a SSP organ oo'"#!#$!r"an "n8or#as" #!ng!na" pos"s" !pa'a r!'a"8 !r*a(ap gra"as"

(an #!n(!!s" p!r+$a*an (a'a# !,!paan g!raan '"n"!ar $!rg!ra

(a'a# gar"s '+r+s anpa #!#an(ang ara* C.

trikulus (an sarkulus a(a'a* sr++r s!p!r" an+ng ang

!r'!a (" (a'a# rongga +'ang ang !r(apa ("anara ana'"s

s!#"s"r+'ar"s (an o'!a. a#$+ ra#$+ pa(a s!' s!' ra#$+ r!s!p"8

(" organ organ "n" j+ga #!nonjo' !(a'a# s+a+ '!#$ar g!'a"nosa

("aasna ang g!raanna #!n!$a$an p!r+$a*an pos"s" ra#$+ s!ra

#!n"#$+'an p!r+$a*an po!ns"a' (" s!' ra#$+. T!r(apa $ana r"sa'*a'+s a's"+# ar$ona oo'" $a+ !'"nga C ang !r$!na# (a'a#

'ap"san g!'a"nosa s!*"ngga 'ap"san !rs!$+ '!$"* $!ra (an '!$"*

'!#$a# "n!r C (ar"pa(a ,a"ran (" s!"arna. K!"a s!s!orang $!ra(a

(a'a# pos"s" !ga ra#$+- ra#$+ (" (a'a# +"+'+s $!ror"!nas" s!,ara

!r"a' (an ra#$+- ra#$+ sar+'+s $!rjajar s!,ara *or";ona'.

Masa g!'a"nosa ang #!ngan(+ng oo'" $!r+$a* pos"s" (an

#!#$!ngoan ra#$+ ra#$+ (a'a# (+a ,ara 7

1. K!"a !pa'a ("g!raan ke segala ara/ selain )ertikal a"+

s!'a"n !ga (an #!n+n(+ C ra#$+ ra#$+ #!#$!ngo s!s+a"

(!ngan ara* g!raan !pa'a karena ga(a gra)itasi (ang

mendesak agian atas la.isan gelatinosa (ang erat#D" (a'a#

+r"+'+s "ap "ap !'"nga s!$ag"an $!ras s!' ra#$+

("or"!nas"an +n+ #!nga'a#" (!po'ar"sas" (an s!$ag"an 'ag"

#!nga'a#" *"p!rpo'ar"sas" !"a !pa'a $!ra(a (a'a# s!ga'a pos"s"

s!'a"n !ga '+r+s. D!ngan (!#""an SSP #!n!r"#a po'a po'a

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a""as sara8 ang $!r'a"nan !rgan+ng pa(a pos"s" !pa'a (a'a#

a"anna (!ngan gra"as" C

2. Ramut 5 ramut utrikulus 1uga erua/ .osisi akiat setia..erua/an dalam gerakan linier /ori6ontal #"sa'na $!rg!ra

'+r+s !(!pan !$!'aang aa+ !sa#p"ng C. K!"a s!s!orang #+'a"

$!rja'an !(!pan $ag"an aas #!#$ran oo'" ang $!ra #+'a

#+'a !r"ngga' (" $!'aang !n(o'"#8! (an s!' s!' ra#$+ ar!na

"n!rs"ana ang '!$"* $!sar. D!ngan (!#""an ra#$+ ra#$+

#!n!+ !$!'aang (a'a# ara* ang $!r'aanan (!ngan ara*

g!raan !pa'a ang !(!pan. ="a !,!paan $!rja'an ("

p!ra*anan 'ap"san g!'a"nosa s!g!ra #!n+s+' (an $!rg!ra

(!ngan !,!paan ang sa#a (!ngan !pa'a s!*"ngga ra#$+

ra#$+ "(a 'ag" #!n!+. K!"a orang !rs!$+ $!r*!n" $!rja'an

'ap"san oo'" s!,ara s"nga !r+s $!rg!ra !(!pan !"a !pa'a

#!'a#$a (an $!r*!n" #!#$!ngoan ra#$+ ra#$+ !ara*

(!pan. D!nga (!#""an s!' s!' ra#$+ +r"+'+s #!n(!!s"

as!'!ras" aa+ (!s!'!ras" '"n"!r *or";ona' !ap" "(a #!#$!r"an

"n8or#as" #!ng!na" g!raan '+r+s ang $!rja'an onsan.

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Sar+'+s #!#p+na" 8+ngs" s!r+pa (!ngan +r"+'+s ke+uali a/7a ia

eres.on se+ara selekti- ter/ada. kemiringan ke.ala men1au/i

.osisi /ori6ontal * misaln(a angun dari tem.at tidur , dan

ter/ada. akselerasi atau deselerasi liner )ertikal * misaln(a

melon+at 5 lon+at atau erada dalam ele)ator ,#

Sin(al 5 sin(alang $!rasa' (ar" $!r$aga" o#pon!n apar+s !s"$+'ar"s

("$aa #!'a'+" sara8 !s"$+'oo'!ar"s ! n+'!+s !s"$+'ar"s sa+

!'o#po $a(an s!' sara8 (" $aang oa (an ! s!r!$!r+#.(" s"n"

"n8or#as" !s"$+'!r (""n!gras"an (!ngan #as+an (ar" p!r#+aan kulitmata sendi (an otot +n+ 7

1. #!#p!ra*anan !s!"#$angan (an pos+r ang (""ng"nan>2. #!ngonro' oo #aa !s!rna' s!*"ngga #aa !ap !r&asas" !

"" ang sa#a a'a+p+n !pa'a $!rg!ra> (an). #!#p!rs!ps"an g!raan (an or"!nas".

Re8ek )estiularis$!rja'an #!n+j+ SSP (an $!rs"nap pa(a n!+ron "n"

!s"$+'ar"s (" $aang oa. S!'anj+na n!+ron !s"$+'ar"s #!n+j+

!$ag"an a'a"n (ar" oa s!$ag"an 'angs+ng #!n+j+ #oon!+ron ang#!nsara& oo-oo !srao+'ar (an #oon!+ron sp"na'"s ang 'a"n #!nj+

8or#a"a r!"+'ar"s $aang oa s!r!$!'+# (an 'a"nna.

H+$+ngan-*+$+ngan 'angs+ng "n" !s"$+'ar"s (!ngan #oon!+ron

!srao+'ar #!r+paan s+a+ jaras ang p!n"ng (a'a# #!ng!n(a'"an

g!raan #aa (an r!

!pa'a. Ko#pon!n 'a#$a #!ngo#p!nsas" g!raan !pa'a (an $!r8+ngs"

#!nsa$"'an s+a+ $aangan pa(a r!"na. Ko#pon! ,!pa $!r8+ngs"

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+n+ !#$a'" #!ngara*an aapn ! $ag"an 'a"n (ar 'apangan

pan(angan. P!r+$a*an ara* g!raan #aa s!'a#a rangsang !s"$+'ar"s

#!r+paan s+a+ ,ono* (ar" n"sag#+s nor#a'.

B!$!rapa "n(""(+ ar!na a'asan ang "(a (" !a*+" sanga p!a!r*a(ap g!raan g!raan !r!n+ ang #!nga"8an apara+s

!s"$+'ar"s (an #!n!$a$an g!ja'a p+s"ng (";;"n!ss C (an #+a'>

!p!aan "n" ("s!$+ #a$+ p!rja'an #o"on s",n!ss C. Ka(ang a(ang

!"(a s!"#$angan ,a"ran (" !'"nga (a'a# #!n!$a$an p!na"

#!n"!r. Kar!na $a" apara+s !s"$+'ar"s #a+p+n o'!a #!ngan(+g

,a"ran !'"nga (a'a# ang sa#a "#$+' g!ja'a !s!"#$angan (an

p!n(!ngaran. P!n(!r"a #!nga'a#" s!rangan s!#!nara !r"go p+s"ng

3 !'"'"ng C ang *!$a ("s!ra" s+ara $!r(!ng"ng (" !'"nga (an gangg+an

p!n(!ngaran. S!'a#a s!rangan "+ p!n(!r"a "(a (apa $!r("r" !ga

(an #!'aporan p!rasaan $a*aa ("r"na aa+ $!n(a $!n(a ("s!!'"'"ngna !rasa $!rp+ar.

Sereellumang #!'!a !$!'aang $ag"an aas $aang oa!r'!a ("

$aa* 'o$+s os"p"a'"s or!s. S!r!$!'+# !r("r" (ar" "ga $ag"an ang

s,ara 8+ngs"ona' $!r$!(a. Bag"an $ag"an "n" #!#"'"" ranga"an #as+an

(an !'+aran (an (!ngan (!#""an #!#"'"" 8+ngs" ang $!r$!(a $!(a 7

1. Vestiulosereellum p!n"ng +n+ +n+n

#!#p!ra*anan!s!"#$angan (an #!ngonro' g!ra #aa.2. S.inosereelum #!nga+r on+s oo (an g!raan o'+n!r ang

!ra#p"' (an !roor("nas".). Sererosereelum$!rp!ran (a'a# p!r!n,anaan (an "n"s"as" a"&as

o'+n!r (!ngan #!#$!r"an #as+an ! (a!ra* (a!ra* #oor"

or!s. Bag"an "n" j+ga #!r+paan (a!ra* s!r!$!'+# ang !r'"$a

(a'a# "ngaan pros!(+ra'.

B!r$aga" g!ja'a ang #!nan(a" p!na" s!r!$!'+# s!#+ana (apa

("a"an (!ngan *"'angna 8+ngs" 8+ngs" !rs!$+ anara 'a"n a(a'a*

gangg+an !s!"#$angan n"sag#+s p!n+r+nan on+s oo !ap" anpa

para'"s"s.

B"I#$ Buku Ajar %en&akit THT edisi 6 Adams , Boies , Higler

/. A(aa* *+$+ngan #!#$a,a no!' (an ja'an ang $!r!'o-!'o (!ngan

!'+*an p+s"ng #+a' (an !'+ar !r"nga ("ng"nC%M+a' A(a'a* p!ng!na'an sa(ar !r*a(ap !s"as" $aa* sa(ar pa(a

(a!ra* #!(+''a ang ("s!$a$an o'!* "#p+'s "r"a"8 ang (aang

(ar" ra+s gasro"n!s"na' "#'+ps ang $!rasa' (ar" oa $aa*

SIMA@GBEOK 1

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ang $!r*+$+ngan (!ngan #o"on s",n!ss (an "#p+'s (ar" or!s

s!r!$r" +n+ #!n,!+san #+na* M!r+paan sensasi .sikisa"$a rangsangan pa(a organ "s!ra'

'a$"r"n* (an !#os". T"(a s!'a'+ $!r'anj+ (!ngan r!,*"ng (an

!sp+'s". K!a(aan "n" ("an(a" (!ngan !"ng"nan +n+ #+na* ang

("rasaan (" !nggoroan aa+ p!r+ s!r"nga'" ("s!ra" (!ngan

g!ja'a *"p!rsa'"as" p+,a $!r!r"nga a"ar("a (an anor!s"a.

S!'a#a p!r"o(! na+s!a !rja(" p!n+r+nan on+s +ra+ra #aor

orp+s (an 8+n(+s. Anr+# (an (+o(!n+# $!ronras" $!r+'ang-

+'ang s!(angan $+'$+s (+o(!n" r!'asas" s!*"ngga !rja(" r! Sa!(a 200/7

S"'$!rnag' 2006C7

1C )hemore*eptor Trigger +one *9T:, pa(a ar!a posr!#a ("

$aa* !nr"!' !!#pa

:T $ana #!ngan(+ng r!s!por (opa#"n (an -*"(ros"-

r"pa#"n !r+a#a D2 (an -HT)C. :T "(a ("'"n(+ng" o'!* blood

brain barrier s!*"ngga #+(a* #!n(apa s"#+'+s (ar" s"r+'as"

#"sa'na p!r+$a*an pH (ara* o$a (an oJ"nC. :T (apa

("p!ngar+*" p'!* ag!n an!s!s" op"o"( (an 8aor *+#ora' -HTC

ang ("'!pasan s!'a#a p!#$!(a*an.

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O$a aa+ os"n #"sa' ("g"a'"s a#"nog'"os"(a n"o"n

!n!roos"n sa&'oo+s s!ra *"pos" +r!#"a (an DM

2C Sistem Vestiuler *'otion $i*kness dan nausea akiat

gangguan .ada telinga agian tenga/,

S"s!# !s"$+'!r (apa #!n!$a$an !rja("na nausea

vomituss!$aga" a"$a (ar" p!#$!(a*an ang #!'"$aan !'"nga

$ag"an !nga* aa+ p!rg!raan s!!'a* p!#$!(a*an.

P+sa #+na* (apa !rja(" anpa ("p!ranara" o'!* :T s!p!r"

pa(a p!rangsangan non&s"o'og"s (" organ !s!"#$angan

"n!s"aN#o"on s",n!ssC. S!'a"n "+ p!#a" !'"nga (a'a#

!s"$+'!r s!p!r" p!na" #!n"!r! #!n!$a$an #+a' (an

#+na*

)CHigher )orti*tal )enterspa(a s"s!# sara8 p+sa

Higher cortical centers s"s!# '"#$"C (apa !r'"$a (a'a#

!rja("na PO@? !r+a#a $!r*+$+ngan (!ngan p!rasaan "(a

#!n!nangan p!ng'"*aan $a+ "ngaan (an !a+an.

;, Ner)us Vagus *mema7a sin(al dari tra+tus

gastrointestinal,

Sara8 a8!r!n (ar" n!r+s ag+s #!na#pa"an "n8or#as" (ar"

#!anor!s!por pa(a oo ("n("ng +s+s (" #ana aan ("*as"'an

-HT apa$"'a +s+s #!ng!#$ang aa+ ra+#a s!'a#a p!#$!(a*an(an (ar" !#or!s!por pa(a #+osa ra,+s gasro"n!s"na'"s

$ag"an aas ang ("p",+ o'!* a(ana ;a $!r$a*aa (a'a# '+#!n.

aC S"s!# sp"nor!"+'!r #!ng"n(+s" #+a' a"$a ra+#a &s"C.

$C @+'!+s ra,+s so'"ar"+s #!r+paan ar,+s r!

$ag"an aas ra+s gasro"n!s"na' !r"r"as" s!,ara '+as saa

#!ng!#$ang aa+ $a*an !r'a'+ !rangsang M+na* a(a'a* .engeluaran isi lamung(!ngan !+aan s!,ara

a"8 a"$a a(ana onras" a$(o#!n p"'or+s !'!as" ar("a

("s!ra" r!'asas" s&ng!r !so8ag+s $ag"an $aa* (an ("'aas"

!so8ag+s. M+na* #!r+paan r!spon so#a" r!

!roor("n"r s!,ara s!#p+rna o'!* ar!na $!r#a,a#-#a,a#

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rangsangan #!'"$aan a"&as oo p!rnapasan oo a$(o#!n

(an oo ("a8rag#a.

P+sa #+na* sara8 a8!r!n aga' C

S"na' s!nsor"s ang #!n,!+san #+na*!r+a#a $!rasa' (ar"8ar"ng 'a#$+ng (an $ag"an aas +s+s *a'+s

S"na' #oor" sara8 ,ran"a'"s ? ?II II a. ra+s gasro"n!s"na' $ag"an aas #!'a'+" sara8 ag+s$. Tra+s gasro"n!s"na' $ag"an $aa* #!'a'+" sara8 sp"na'"s !

("ap*rag# (an oo a$(o#!n

P!n!$a$ #+na* Pa(a p!r!gangan 'a#$+ng ang $!r'!$"*an aa+ !r+saan #+osa

'a#$+ng #"ssa' a"$a a',o*o' P!ngosongan 'a#$+ng ang !r'a#$aar!na sara8 oono#

a8!r!n (ar" #aanan ang s+ar (",!rna s!ra p!ng*a#$aan

sa'+ran !'+ar 'a#$+ng s!nos"s p'or+s +#orC aa+ +s+s

ar!s"a ('' C T!anan "nra,ran"a' Pajanan ra("as" K!*a#"'an r"#!s!r 1

Tan(a2 #+na*K!r"ngan $!r'!$"* a'"ran sa'"a pp+p"' #!'!$ar p+,a rasa !n! #+a'

As" #+na* B!rna8as (a'a# @a"na +'ang '"(a* (an 'ar"ng +n+ #!nar" s&ng!r

o!sop*ag+s $ag"an aas s+paa !r$+a P!n++pan g'o"s s+paa #!n,!ga* a'"ran #+na* #as+ !

par+ P!ngangaan pa'a+# #o''!nar!s pos!r"or !r++p Da"ng onars" ("ap*rag# ang +a $!rsa#a oo 2 ("n("ng

a$(o#!n !anan "nragasr" "ngg"s&ng!r o!sop*ag+s

$ag"an $aa* $!r!'asas" s!,ara '!ngapp!#$+aan s&ng!r

o!sop*ag+sp!ng!'+aran "s" 'a#$+ng-MU@TAH

9e./algia *sakit ke.ala

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9e./algia menandakan akti)asi dari serat a=erent .rimer (ang

menginner)asi .emulu/ dara/ +e./ali+' terutama .emulu/

dara/ meningeal atau +ereral# Kean(akan serat nosise.ti- (ang

menginner)asi struktur ini erasal dari neuron .seudouni.olar

(ang terletak dalam ganglia trigerminal *di)isi .ertama,'

7alau.un eera.a lain(na erasal dari dalam ganglia ser)ikal

agian atas# Rangsangan (ang mengakti)asi serat ini +uku.

er)ariael' mulai dari traksi mekanikal langsung akiat tumor

sam.ai iritasi kimia (ang diseakan ole/ in-eksi SSP atau

.erdara/an suara+/noid#

S(stem )estiuler sangat sensiti)e ter/ada. .erua/an

konsentrasi >" dara/ ole/ karena itu .erua/an aliran dara/ (g

mendadak da.et menimulkan )ertigo'' dan /arus ada -a+tor lain

(g men(ertain(a ' misaln(a sklerosis .ada sala/ satu dari arteri

auditi)a interna

Perua/an konsentrasi %" da.at ter1adi misaln(a .ada

/i.ertensi ' /i.otensi' s.ondiloartritis

Pada kelainan )asomotor ' mekanisme ter1adin(a )ertigo

diseakan ole/ karena .eredaan .erilaku antara a# auditi)a

interna kanan dan kiri

daera/0daera/ n(eri 4 tengkorak' .aren+/(m otak' .le?us

+/oroideus dan seagian esar dura mater serta .ia0ara+/noidtidak .eka ter/ada. n(eri' 1aringan (ang men(eluungi +ranium'

terutama .emulu/0.emulu/ arteri ' .eka ter/ada. n(eri

Sumer 4 Buku A1ar Fisiologi Kedokteran Gu(ton and @all 'Ed #

EG9 dan Atlas Patosiologi Ste-an Silernagl and Florian Lang#

EG9

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Buku Ajar Ilmu Kesehatan Telinga, Hidung, Tenggorok, Kepala

dan Leher, ed 6, FKUI : 2!

. Apa saja *a' ang #!#p!ngar+*" !s!"#$angan +$+*%

6. Apa saja gangg+an !s!"#$angan%3. Baga"#ana #!an"s#! o$a an" #a$+ (an s!$+an ,ono* o$ana4

5. Apa DD (ar" s!nar"o%

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. P!#!r"saan p!n+njang +n+ gangg+an !s!"#$angan%

2I FNGSI KESEI!BANGAN

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Inter.retasi 4

Orang nor#a' aan(apa$!r("r"(!ngan!ga'!$"*(ar" )0 (!". B"'! (a'a#

)0 (!"$a(anpro$an(+sgoang#!nja+*"gar"s!nga* !ananaa+!"r"C #a!

a(agangg+an8+ngs"!s!"#$angan.

Gangg+an!s!"#$nganp!r"8!r !s"$+'!rC $"'a

7pa(a!a(aan!(+a#aa!r++p$a(anpro$an(+sgoang#!nja+*"gar"s!nga*!

#+("an!#$a'"!ga'ag"

pa(a!a(aan!(+a#aa!r$+a$a(anpro$an(+s!ap!ga.

Gangg+an!s!"#$anganp+sa s!r!$!'!rC $"'a

7$a(anpro$an(+saanggoang#!nja+*"gar"s!nga*pa(a!a(aan#aa!r$+a#a

+p+n!r++p.

B#2I

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Oraang nor#a' aan(apa$!rja'an'+r+s!(!pan(an "(a' #!n"#pang

goangaa+ja+*. Pa(a!'a"nan!s"$+'!r

p!rja'ananpro$an(+saan#!n"#pang.

Pa(a!'a"nans!r!$!'!rpro$an(+saan,!n(!r+ngja+*.

9#2I

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+rang'!$"*(a'a# 1 #!n"C (!ngan#!nganga'++s!"ngg"#+ng"n. A#a"

apaa*a(ap!rg!s!ran!sa#p"ng(anp!rp+aranara*.

Inter.retasi4

Orang nor#a' aan(apa$!rja'an(!ngan $a"'

anpaa(anap!rg!s!ran!sa#p"ngaa+p!rp+aranara*.

Pro$an(+s#!nga'a#"gangg+an!s!"#$angan$"'a!#pa$!rg!s!r'!$"*(ar" 1

#!!r (an.!rja("p!rp+aranara*'!$"*(ar" )0 (!raja.

Pa(a!'a"nan!s"$+'!rpos"s"p!n(!r"aaan#!n"#pang Q

$!rp+ar!ara*'!s"(!ngang!raans!p!r"#!'!#par,ara# !pa'a(an$a(an$!rp

+ar!ara*'!s"(!ngan'!ngans"s"'!s"+r+n(an'a"nnana".

K!a(aan"n"("s!ra"n"sag#+s8as!'a#$a!ara*'!s".

II# 2I K@SS %T% 5 NER%L%GIS

A# 2I DI @ALLPIKE

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Uj""n"ertu1uanuntukmenentukana.aka/lesi *kelainann(a,

ersi-atsentralatau.eri-er *)ertigo sentralatau.eri-er,

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9ara ker1a4

Pro$an(+s(+(+ (" !#pa"(+r(!nganpos"s"!(+a+nga"'+r+s!(!pan.

S!'anj+nap!n(!r"a("$ar"ngan!$!'ang(!ngan,!pa

s!*"ngga!pa'ana#!nggan+ng / (!raja (" $aa*gar"s*or"sona'

!#+("an!pa'ana("#"r"ngan!anan(an!"r".

P!r*a"ansaa"#$+'(an*"'angnan!r"go(ann"sag#+s.

Inter.retasi 4

?!r"go p!r"8!r !r"go pos"s"ona'$!n"gnaC $"'a 7

?!r"go nann"sag#+s"$+' 2 - 10 (!"s!!'a*rangsangan

!pa'apro$an(+s("p+arC *"'ang(a'a#a++rang(ar" 1

#!n"s!!'a*rangsangan *"'angaa+$!r+rang$"'a!s("+'ang$!$!rapa a'".

?!r"go s!nra'$"'a

?!r"go (ann"sag#+s#+n,+'s!jarangsangan("'a+an anpaa(ap!r"o(!'a!nC

$!r'angs+ng'!$"*(ar" 1 #!n"

"(a$!r+rangaa+#!ng*"'ang#!s"p+nrangsangans+(a*("+'ang$!$!rapa a'".

B#TES KAL%RI

Uj""n"(apa#!#$!(aana(anagangg+an!s!"#$angans!nra' '!s" ("

s"s!#sara8p+saC Q D"r!,"ona' pr!pon(!ran,! (anp!r"8!r '!s" (" 'a$"r"naaa+ @

?IIIC Q :ana' par!s"s

9ara ker1a7

Pro$an(+s$!r$ar"ng(!ngan!pa'a

)0R:C (an a"r *anga //R:C #as"ng#as"ngs!'a#a /0 (!"(anjaras!"ap"r"gas"

#!n". :aa'a* 'a#a n"sag#+s ang

!rja("s!jap!r#+'aan"r"gas"sa#pa"n"sag#+s*"'ang nor#a' 0 - 10 (!"C.

Inter.retasi4

@or#a' 7 n"sag#+s$!n'angs+ngs!'a#a 0 - 10 (!"

K!'aa"nan Q a$nor#a' 7 n"sag#+s$!r'angs+#ng'!$"*(ar" 10 (!"

:ana' par!s"s 7a$nor#a'"as("!#+anpa(a 1

!'"nga$a"s!!'a*rangsang a"r ("ng"n#a+p+n*anga

D"r!,"ona' pr!pon(!ran,! 7 a$nor#a'"as("!#+anpa(a!(+a!'"nga.

DD diuat tael dan ditulis +iri k/asn(a#

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VERTIG%

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Denisi

S!$ag"an $!sar as+s

!r"go "(a ("!a*+" a+sana s!*"ngga !rap" '!$"* $ana $!rs"8as"#o#a" (an r!*a$"'"a"8

P+s"ng (";;"n!ssC a(a'a* !'+*an s+$j!"8 ang pa'"ng s!r"ng ("!#+". Banas!a'" ("!#+an p!na" ang #!#$!r" g!ja'a p+s"ng. O'!* ar!na "+sanga'a* p!n"ng +n+ #!n!'+s+r" (!ngan r"n," p+s"ng s!p!r" apa ang("#as+( o'!* pas"!n. ?!r"go #"sa'na. S!s+a" asa' aana (ar" $a*asa La"n!r!r! ang $!rar" #!#+ar #aa p+s"ng pa(a !r"go '!$"* #!ngara* pa(as!nsas" aa+ "'+s" (ar" s+a+ g!raan $!rp+ar. Ena* orang "+ #!rasa r+angan(" s!"arna $!rp+ar aa+ ("r"na ang #!#+ar" r+angan !rs!$+. Ta jarangp+'a !r"go ("s!ra" rasa #+a' #+na* aa+ !r"nga ("ng"n.

P!na" "n" a a'a* pa#or ("$an("ngan p!na" n!+ro'og" 'a"nna. Ha' "+("$+"an (!ngan !$!r*as"'anna #!n(+(+" p!r"nga !"ga s!$aga"!'+*an !r$ana s!!'a* n!r" !pa'a #"gra"nC (an 'o $a, pa"n. M!n+r+ (rA$(+'$ar Ha#"( SpS (a'a# pr!s!nas"na (" T*! )r( Up(a!s "n@!+ro!#!rg!n,"!s Mar! 2006 !r"go #!nja(" #o#o pa(a 0 orang +a$!r+s"a s!"ar 30 a*+n (" A#!r"a ar!na #!r!a a+ !rja+* a"$as!rangan !r"gona.

!engenal Sistem Keseimangan

Asa' !rja("na !r"go ("ar!naan a(ana gangg+an pa(a s"s!#

!s!"#$angan +$+*. B"sa $!r+pa ra+#a "n8!s" !ganasan #!a$o'" os"as+'ar aa+ a+o"#+n. S"s!# !s!"#$angan +$+* "a ("$ag" #!nja(" 2 a"+s"s!# !s"$+'ar p+sa (an p!r"8!rC s!ra non !s"$+'ar "s+a' r!"na oo$o'a #aa (an so#ao"n!" +'" s!n(" ooC.

S"s!# !s"$+'ar s!nra' !r'!a pa(a $aang oa s!r!$!'+# (an s!r!$r+#.S!$a'"na s"s!# !s"$+'ar p!r"8!r #!'"p+" 'a$"r"n (an sara8 !s"$+'ar. La$"r"n!rs+s+n (ar" ) ana'"s s!#"s"r+'ar"s (an oo'" sa+'+s (an +r"+'+sC ang$!rp!ran s!$aga" r!s!por s!nsor" !s!"#$angan s!ra o'!a s!$aga" r!s!pors!nsor" p!n(!ngaran. S!#!nara "+ r"sa pa(a ana'"s s!#"s"r+'ar"s #!nga+ras!'!ras" ang+'ar s!p!r" g!raan $!rp+ar s!(angan #a+'a pa(a oo'"

#!nga+r as!'!ras" '"n!ar.

S!ga'a "np+ ang ("!r"#a o'!* s"s!# !s"$+'ar aan ("o'a*. K!#+("an("!r+san ! s"s!# "s+a' (an so#ao"n!" +n+ #!r!spon "n8or#as"!rs!$+. G!ja'a ang "#$+' a"$a gangg+an pa(a o#pon!n s"s!#!s!"#$angan +$+* "+ $!r$!(a-$!(a.

Ta$!' 1 (an 2

Ta$!' 1. P!r$!(aan ?!r"go ?!s"$+'ar (an @on ?!s"$+'ar

G!ja'a ?!r"go ?!s"$+'ar ?!r"go @on ?!s"$+'ar

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S"8a !r"go

S!rangan

M+a'Q#+na*

Gangg+an p!n(!ngaran

G!raan p!n,!+s

S"+as" p!n,!+s

rasa $!rp+ar

!p"so("

V

VQ-

g!raan !pa'a

-

#!'aang *"'ang

!s!"#$angan

on"n+

-

-

g!raan o$! "s+a'

!ra#a"an 'a'+ '"nas

Ta$!' 2. P!r$!(aan ?!r"go ?!s"$+'ar P!r"8!r (an S!nra'

G!ja'a ?!r"go ?!s"$+'ar P!r"8!r ?!r"go ?!s"$+'ar S!nra'

Bang"an !r"go

D!raja !r"go

P!ngar+* g!raan !pa'a

G!ja'a oono# #+a'#+na* !r"ngaC

Gangg+an p!n(!ngaran"n"+s +'"C

Tan(a 8oa' oa

'!$"* #!n(a(a

$!ra

VV

VV

V

-

'!$"* 'a#$a

r"ngan

VQ-

V

-

V

Klasikasi

B!r(asaran a"an s!rangan !r"go ("$!(aan #!nja(" ) !'o#po a"+paros"s#a' ron" (an a+. S!rangan pa(a !r"go paros"s#a' !rja("#!n(a(a $!r'angs+ng $!$!rapa #!n" aa+ *ar" 'a'+ #!ng*"'ang s!#p+rna.S+a+ saa s!rangan "+ (apa #+n,+' 'ag". @a#+n ("anara s!rangan pas"!nsa#a s!a'" "(a #!rasaan g!ja'a. La"n *a'na (!ngan !r"go ron"s.D"aaan ron"s ar!na s!ranganna #!n!ap 'a#a (an "n!ns"asna onsan.Pa(a !r"go a+ s!ranganna #!n(a(a "n!ns"asna p!r'a*an $!r+rangna#+n pas"!n "(a p!rna* #!nga'a#" p!r"o(! $!$as s!#p+rna (ar" !'+*an.D!#""an papar A$(+'$ar. Ta$!' )

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=!n"s ?!r"go

B!r(asaran A"an

S!rangan

D"s!ra" K!'+*an

T!'"nga

T"(a D"s!ra"

K!'+*an T!'"nga

T"#$+' Kar!na

P!r+$a*an Pos"s"

?!r"go paros"s#a' P!na" M!n"!r!

+#or 8ossa ,ran""

pos!r"or rans"!n

"s,*!#", aa,

TIAC ar!r"

!r!$ra'"s

TIA ar!r" !r!$ro-

$as"'ar"s !p"'!ps"

!r"go a"$a '!s"

'a#$+ng

B!n"gn paroJs#a'

pos""ona' !r"go

BPP?C

?!r"go ron"s O""s #!("a ron"s

#!n"ng""s

+$!r+'osa +#or

s!r!$!'o-pon"n!'!s" 'a$"r"n a"$a

;a ooos"

Kon+s"o s!r!$r"

s"n(ro#a pasa

o#os"o #+'"p'!

s'!ros"s"nos"as" o$a-

o$aan

H"po!ns" orosa"

!r"go s!r"a'"s

?!r"go a+ Tra+#a 'a$"r"n

*!rp!s ;os!r

o"+s 'a$"r"n""s

a+a p!r(ara*an

'a$"r"n

@!+ron""s

!s"$+'ar"s

!ns!8a'""s

!s"$+'ar"s

#+'"p!' s'!ros"s

-

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Pemeriksaan Fisis dan Neurologis

P!#!r"saan &s"s (asar (an n!+ro'og"s sanga p!n"ng +n+ #!#$an+#!n!gaan ("agnos"s !r"go. P!#!r"saan &s"s (asar ang !r+a#a a(a'a*

#!n"'a" p!r$!(aan $!sar !anan (ara* pa(a p!r+$a*an pos"s". S!,ara gar"s$!sar p!#!r"saan n!+ro'og"s ("'a+an +n+ #!n"'a" 8+ngs" !s"$+'ar sara8ran"a' (an #oor"-s!nsor".

S"s!# !s"$+'ar (apa ("n"'a" (!ngan !s o#$!rg an(!# ga" !s +j" ja'an ("!#pa 8++(a !sC aa+ $!r("r" (!ngan sa+ aa+ (+a a". Uj"-+j" "n" $"asana$!rg+na +n+ #!n"'a" sa$"'"as pos+ra' j"a #aa ("++p aa+ ("$+a.S!ns"""as +j"-+j" "n" (apa (""ngaan (!ngan !n"-!n" !r!n+ s!p!r"#!'a+an !s o#$!rg (!ngan $!r("r" (" a'as 8oa# ang '"a.

P!#!r"saan sara8 ran"a' I (apa ("$an+ (!ngan 8+n(+sop" +n+ #!'"*a a(a

"(ana pap"'!(!#a aa+ aro& op". Sara8 ran"a' III I? (an ?I ("+j+an +n+#!n"'a" p!rg!raan $o'a #aa. Sara8 ran"a' ? +n+ r!

P!#!r"saan s!'anj+na a(a'a* #!n"'a" p!rg!raan #aa s!p!r" a(aa*n"sag#+s sponan aa+ ga;!-!o!( nsag#+s (an aa+ p!rg!raan a$nor#a'

$o'a #aa. P!n"ng +n+ #!#$!(aan apaa* n"sag#+s ang !rja(" p!r"8!raa+ s!nra'. @"sag#+s s!nra' $"asana *ana !r"a' aa+ *or";ona' saja (an(apa !r'"*a (!ngan &sas" "s+a'. @"sag#+s p!r"8!r (apa $!rp+ar aa+roas"ona' (an (apa !r'"*a (!ngan #!#"n(a*an &sas" "s+a'. T"#$+'nan"sag#+s (an g!ja'a 'a"n s!!'a* p!rg!raan !pa'a ang ,!pa #!nan(aana(ana "np+ !s"$+'ar ang as"#!r"s $"asana s!+n(!r a"$a n!+ron""s!s"$+'ar ang "(a !ro#p!nsas" aa+ p!na" M!n"!r!.

Uj" 8+ngs" #oor" j+ga *ar+s ("'a+an anara 'a"n (!ngan ,ara pas"!n #!n!+'!nganna (" (!pan (a(a 'a'+ p!#!r"sa #!nar"na (an a*an *"ngga *"+ngan! s!p+'+* 'a'+ p!#!r"sa #!'!pasna (!ngan "$a-"$a (an '"*a apaa* pas"!n

(apa #!na*an '!nganna aa+ "(a. Pas"!n (!ngan gangg+an p!r"8!r (ans!nra' "(a (apa #!ng*!n"an '!nganna (!ngan ,!pa. T!ap" +j" "n"+a'"a"8 (an !rgan+ng pa(a s+$j!"&as p!#!r"sa on("s" #+s+'os!'!a'pas"!n (an !rjasa#a pas"!n "+ s!n("r".

P!#!r"saan *+s+s n!+ro-oo'og" ang +#+# ("'a+an a(a'a* +j" D"J-Ha''p"!(an !'!,ronsag#ograp* E@GC. Uj" E@G !r("r" (ar" g!ra saa(" n"sag#+spos"s"ona' n"sag#+s a"$a g!raan !pa'a pos""on"ng nsag#+s (an +j"a'or".

Pa(a (asarna p!#!r"saan p!n+njang "(a #!nja(" *a' #+'a pa(a !r"go.@a#+n pa(a $!$!rapa as+s #!#ang ("p!r'+an. P!#!r"saan 'a$oraor"+#

s!p!r" (ara* '!ngap (apa #!#$!r"a*+ a(a "(ana pros!s "n8!s". Pro&' '"p"(

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(an *!#osas"s (apa #!#$an+ "a +n+ #!n(+ga "s!#"a. 9oo rong!n :T-s,an aa+ MI (apa ("g+naan +n+ #!n(!!s" !*a("ran n!op'as#aQ+#or.Ar!r"ogra& +n+ #!n"'a" s"r+'as" !r!$ro$as"'ar.

Penatalaksanaan

Taa'asana !r"go !r$ag" #!nja(" ) $ag"an +a#a a"+ a+sa' s"#o#a"(an r!*a$"'"a"8. S!$ag"an $!sar as+s !r"go "(a ("!a*+" a+sanas!*"ngga !rap" '!$"* $ana $!rs"8a s"#o#a" (an r!*a$"'"a"8.

T!rap" s"#o#a" $!r+j+an #!#"n"#a'an 2 g!ja'a +a#a a"+ rasa $!rp+ar(an g!ja'a oono#. Un+ #!n,apa" +j+an "+ ("g+naan'a* !s"$+'ars+ppr!san (an an"!#!". B!$!rapa o$a ang !rgo'ong !s"$+'ar s+ppr!sana(a'a* an"o'"n!rg" an"*"sa#"n $!n;o("a;!p"n ,a',"+# ,*ann!' $'o,!r8!no"a;"n (an *"sa#"n". Ta$!' /

An"o'"n!rg" $!!rja (!ngan ,ara #!#p!ngar+*" r!s!por #+sar"n".An"o'"n!rg" ang ("p"'"* *ar+s #a#p+ #!n!#$+s saar (ara* oa s!nra'C.I(!a'na an"o'"n!rg" *ar+s $!rs"8a sp!s"& !r*a(ap r!s!por !s"$+'ar agar!8! sa#p"ngna "(a !r'a'+ $!ra. Saangna $!'+# a(a.

B!n;o("a;!p"n !r#as+ #o(+'aor GABA ang $!!rja s!,ara s!nra' +n+#!ns+pr!s" r!pson (ar" !s"$+'ar. Pa(a (os"s !,"' o$a "n" $!r#an8aa (a'a#p!ngo$aan !r"go. E8! sa#p"ng ang (apa s!g!ra "#$+' a(a'a*!rgangg+na #!#or" #!ng+rang" !s!"#$angan (an #!r+sa !s!"#$angan(ar" !rja !s"$+'ar.

An"!#!" ("g+naan +n+ #!ngonro' rasa #+a'. B!n+ ang ("p"'"*!rgan+ng !a(aan pas"!n. Ora' +n+ rasa #+a' r"ngan s+pos"or"a +n+#+na* *!$a aa+ aon" 'a#$+ng (an s+n"an "nra!na pa(a as+s gaa(ar+ra. :ono* an"!#!" a(a'a* #!o'orpra#"( 10 #g ora' aa+ IM (anon(ans!ron /-5 #g ora'.

T!rap" r!*a$"'"as" $!r+j+an +n+ #!#$ang"an (an #!n"ngaano#p!nsas" s!nra' (an *a$"+as" pa(a pas"!n (!ngan gangg+an !s"$+'ar.M!an"s#! !rja !rap" "n" a(a'a* s+$s"+s" s!nra' o'!* s"s!# "s+a' (anso#aos!nsor" +n+ 8+ngs" !s"$+'ar ang !rgangg+ #!nga"8an !n(a'"on+s "n" !s"$+'ar o'!* s!r!$!'+# s"s!# "s+a' (an so#aos!nsor" s!ra

#!n"#$+'an *a$"+as" a"+ $!r+rangna r!spon !r*a(ap s"#+'as" s!nsor"ang ("$!r"an $!r+'ang-+'ang.

Ta$!' /. T!rap" O$a An"!r"go

Go'ongan Dos"s ora' An"!#!" S!(as" M+osa K!r"ngEsrap"ra#"(a'

9'+nar"s"n

S"nar";"n

1W-10 #g

)W2 #g

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SIMA@GBEOK )2

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Pro#!as"n

D"8!n*"(r"na

Sopo'a#"n

Arop"n

A#8!a#"n

E8!(r"n

Pro'orp!ras"n

K'orpro#as"n

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B!a*"s"n

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S!(ang("!'""

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)W100 #g

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BPP?Q ?PP=?!r"go pos"s" paros"s#a' j"na ?PP=C aa+ ("s!$+ j+ga B!n"gn

ParoJs#a' Pos""ona' ?!r"go BPP?C a(a'a* gangg+an !s!"#$angan

p!r"8!r ang s!r"ng ("j+#pa". G!ja'a ang ("!'+*an a(a'a* !r"go ang

(aang "$a-"$a pa(a p!r+$a*an pos"s" !pa'a. B!$!rapa pas"!n (apa

#!ngaaan (!ngan !pa pos"s" !r!n+ ang #!n"#$+'an !'+*an

!r"go. B"asana !r"go ("rasaan sanga $!ra $!r'angs+ng s"nga

*ana $!$!rapa (!" saja a'a+p+n p!n(!r"a #!rasaanna '!$"* 'a#a.

K!'+*an (apa ("s!ra" #+a' $a*an sa#pa" #+na* s!*"ngga p!n(!r"a

#!rasa *aa"r aan "#$+' s!rangan 'ag". Ha' "n" ang #!n!$a$an

p!n(!r"a sanga $!r*a"-*a" (a'a# pos"s" "(+rna. ?!r"go j!n"s "n" s!r"ng

$!r+'ang a(ang-a(ang (apa s!#$+* (!ngan s!n("r"na. ?!r"go pa(a

BPP? !r#as+ !r"go p!r"8!r ar!na !'a"nanna !r(apa pa(a !'"nga

SIMA@GBEOK ))

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(a'a# a"+ pa(a s"s!# !s"$+'ar"s. BPP? p!ra#a a'" ("!#+aan

o'!* Baran pa(a a*+n 121. Kara!r"s" n"sag#+s (an !r"go

$!r*+$+ngan (!ngan pos"s" (an #!n(+ga $a*a on("s" "n" !rja(" a"$a

gangg+an oo'".

ME@IEE

#!n"!r!

D!&n"s"P!na" M!n"!r! a(a'a* s+a+ p!na" ang ("an(a" o'!* s!rangan

$!r+'ang vertigop!rasaan $!rp+arC +'" (an tinnitus!'"nga $!r(!ng"ngC.

S+#$!r 7 *p7QQ#!(",asor!.,o#Qp!na"Q526QP!na"XM!n"!r!.*#' E"o'og"

P!n!$a$ pas" p!na" M!n"!r! $!'+# ("!a*+". P!na#$a*an o'+#!

!n(o'"#8! ("p!r"raan o'!* a(ana gangg+an $"o"#"a ,a"ran !n(o'"#8a (an

gangg+an '"n" pa(a #!#$ran! 'a$"r"n.S+#$!r 7 B++ Ajar I'#+ K!s!*aan T!'"nga H"(+ng T!nggoro K!pa'a (an L!*!r

9K UI !(. ?I.

Pao&s"o'og"G!ja'a '"n"s p!na" M!n"!r! ("s!$a$an o'!* a(ana *"(rops !n(o'"#8!

pa(a o'!a (an !s"$+'+#. H"(rops ang !rja(" #!n(a(a (an *"'ang "#$+'

("(+ga ("s!$a$an o'!* 7

M!n"ngana !anan *"(rosa" pa(a +j+ng ar!r". B!r+rangna !anan os#o", (" (a'a# ap"'!r. M!n"ngana !anan os#o", (" !sraap"!'r. =a'an !'+ar sa+s !n(o'"#8a"+s !rs+#$a s!*"ngga !rja("

p!n"#$+nan ,a"ran !n(o'"#8a.

Pa(a p!#!r"saan *"sopao'og" +'ang !#pora' ("!#+an p!'!$aran (an

p!r+$a*an #or8o'og" pa(a #!#$ran! !"ssn!r. T!r(apa p!nonjo'an ! (a'a#

sa'a !s"$+'! !r+a#a s" (a!ra* ap!s o'!a H!'"or!#a sa+'+s j+ga

#!nga'a#" p!'!$aran ang (apa #!n!an +r"+'+s. Pa(a aa'na p!'!$aransa'a #!("a ("#+'a" (ar" (!ra* ap!s o'!a !#+ng"nan (apa #!'+as

#!ng!na" $ag"an !nga* (an $asa' o'!a. Ha' "n" ang (apa #!nj!'asan

!rja("na +'" sara8 na(a r!n(a* pa(a p!na" M!n"!r!.S+#$!r 7 B++ Ajar I'#+ K!s!*aan T!'"nga H"(+ng T!nggoro K!pa'a (an L!*!r

9K UI !(. ?I.

Man"8!sas" '"n"sT!r(apa r"as aa+ s"n(ro# M!n"!r! a"+ !r"go "nn"+s (an +'"

s!nsor"n!+ra' !r+a#a na(a r!n(a*. S!rangan p!ra#a sanga $!ra a"+

!r"go ("s!ra+ rasa #+na*. S!"ap a'" $!r+sa*a +n+ $!r("r" ("a #!rasa

$!rpar #+a' (an !r+s #+na* 'ag". Ha' "n" $!r'angs+ng $!$!rapa *ar" sa#pa"

SIMA@GBEOK )/
http://medicastore.com/penyakit/826/Penyakit_Meniere.htmlhttp://medicastore.com/penyakit/826/Penyakit_Meniere.html

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$!$!rapa #"ngg+ #!s"p+n !a(aanna $!rangs+r s!#a"n $a". P!na" "n"

$"sa s!#$+* anpa o$a (an g!ja'a p!na" $"sa *"'ang sa#a s!a'". Pa(a

s!rangan !(+a a'"na (an s!'anj+na ("rasaan '!$"* r"ngan "(a s!p!r"

s!rangan ang p!ra#a a'". Pa(a p!na" M!n"!r! !r"gona p!r"o(", ang

#a"n #!r!(a pa(a s!rangan-s!rangan $!r"+na.S+#$!r 7 B++ Ajar I'#+ K!s!*aan T!'"nga H"(+ng T!nggoro K!pa'a (an L!*!r

9K UI !(. ?I.G!ja'ana $!r+pa s!angan !r"go #+a' (an #+na* #!n(a(a ang

$!r'angs+ng s!'a#a )-2/ ja# (an !#+("an #!ng*"'ang s!,ara p!r'a*an.

S!,ara p!r"o(" p!n(!r"a #!rasaan !'"ngana p!n+* aa+ #!rasaan a(ana

!anan (" (a'a# !'"nga.

P!n(!ngaran (" !'"nga ang !r!na $!r

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op!ra"8 pa(a p!#$+aan s*+n. B"'a !r(apa *"(rops #aa op!ras" ("(+ga

aan $!r*as"' (!ngan $a".S+#$!r 7 B++ Ajar I'#+ K!s!*aan T!'"nga H"(+ng T!nggoro K!pa'a (an L!*!r

9K UI !(. ?I.

P!naa'asanaanK*+s+s +n+ p!na" M!n"!r! ("$!r"an o$a-o$a aso("'aor p!r"8!r

+n+ #!ng+rang" !anan *"(rops !n(o'"#8a. Dapa p+'a !anan !n(o'"#8a "n"

("sa'+ran ! !#pa 'a"n (!ngan ja'an op!ras" a"+ #!#$+a s*+n.O$a-o$a an"s!#"a (apa p+'a ("$!r"an s!$aga" o$a a'!rna"! (an

j+ga ("$!r"an o$a n!+roon" +n+ #!ng+aan sara8na.S+#$!r 7 B++ Ajar I'#+ K!s!*aan T!'"nga H"(+ng T!nggoro K!pa'a (an L!*!r

9K UI !(. ?I.Un+ #!r"nganan !r"go $"sa ("$!r"an s,opo'a#"n an"*"sa#"n $ar$"+ra

aa+ ("a;!pa#.

T"n(aan p!#$!(a*an +n+ #!ng+rang" !r"go a(a'a* neurektomi vestibuler

("#ana ("'a+an p!#oongn sara8 ang #!n+j+ ! kanalis semisirkularis

$ag"an (ar" !'"nga !nga* ang #!nga+r !s!"#$anganC.

="a !r"go sanga #!nggangg+ (an !rja(" gangg+an p!n(!ngaran ang $!ra

("'a+an labirintektomi a"+ p!ngangaan koklea$ag"an (ar" !'"nga !nga*

ang #!nga+r p!n(!ngaranC (an ana'"s s!#"s"r+'ar"s.S+#$!r 7 *p7QQ#!(",asor!.,o#Qp!na"Q526QP!na"XM!n"!r!.*#'

P!n,!ga*anTa" p!raaan ("r" !r!n+ (apa #!#$an+ #!ng+rang" (a#pa p!na"

M!n"!r!. P!r"#$angan "ps "n"71. D+(+ aa+ $!r$ar"ng s!g!ra !"a An(a #!rasa p+s"ng. S!'a#a !p"so(!

!r"go *"n(ar" *a'-*a' ang (apa #!#$+a an(a-an(a (an g!ja'a '!$"*

$+r+ s!p!r" g!raan "$a-"$a 'a#p+-'a#p+ !rang #!nonon !'!"s"

aa+ #!#$a,a.2. Is"ra*a s!'a#a (an s!!'a* s!rangan. =angan !r$+r+-$+r+ +n+ !#$a'"

! !g"aan nor#a'.). aspa(a'a* !r*a(ap !#+ng"nan !*"'angan !s!"#$angan. =a+* $"sa

#!n!$a$an ,!(!ra s!r"+s. G+naan p!n,a*aaan ang $a" j"a An(a

$ang+n (" #a'a# *ar". P!r"#$angan $!rja'an (!ngan onga +n+

sa$"'"as j"a An(a #!nga'a#" #asa'a* !s!"#$angan ron"s./. H"n(ar" #!ng!n(ara" #o$"' aa+ #!ngop!ras"an #!s"n-#!s"n $!ra j"a

An(a s!r"ng #!nga'a#" !p"so(! !r"go. M!'a+an *a' "+ (apa

#!n!$a$an !,!'aaan (an ,!(!ra.

S+#$!r 7 *p7QQ#!(",asor!.,o#Qp!na"Q526QP!na"XM!n"!r!.*#'
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