{"id":976,"date":"2016-08-27T03:47:29","date_gmt":"2016-08-27T03:47:29","guid":{"rendered":"http:\/\/doktermuslim.com\/?p=976"},"modified":"2017-04-22T04:09:31","modified_gmt":"2017-04-22T04:09:31","slug":"diagnosis-nyeri","status":"publish","type":"post","link":"https:\/\/doktermuslim.com\/diagnosis-nyeri\/","title":{"rendered":"Diagnosis Nyeri"},"content":{"rendered":"

NYERI SPONDILOGENIK<\/u><\/strong><\/h3>\n

Penyebab<\/strong> : Kelainan yang berhubungan dengan proses patologi struktur columna spinalis.<\/p>\n

Sifat Nyeri : <\/strong>Nyeri berat, tajam, menetap, Dapat dilokalisir, Nyeri tekan (+), Diperberat dengan batuk, bersin, kontraksi otot perut, aktivitas tertentu yang melibatkan gerakan spinal Berkurang dengan istirahat.<\/p>\n

Contoh :<\/strong> Trauma, infeksi, neoplasma, metabolik, kelainan kongenital, degeneratif.<\/p>\n

\n

NYERI VISCEROGENIK<\/u><\/strong><\/h3>\n

Penyebab : <\/strong>Kelainan patologis di ginjal dan organ daerah pelvic serta tumor retroperitoneal. Riwayat penyakit yang mendasari<\/p>\n

Sifat Nyeri : <\/strong>Reffered pain (nyeri alih), Sulit dilokalisir, Tumpul dan difuse, Nyeri tidak bertambah berat dengan aktivitas tubuh, juga tidak berkurang dengan istirahat, Sering disertai respon otonom (mual, muntah)<\/p>\n

Contoh : <\/strong>Penyakit lambung dan duodenum, pankreas, intestinum, appendiks, kolon, ginjal, massa retroperitoneum serta kelainan di rongga pelvis.<\/p>\n

\n

NYERI VASKULER<\/u><\/strong><\/h3>\n

Penyebab : <\/strong>Kelainan di pembuluh darah berupa pelebaran diameter atau peradangan pada dinding pembuluh darah. Berhubungan dengan manifestasi lain dari insufisiensi vaskuler<\/p>\n

Sifat Nyeri : <\/strong>Nyeri tumpul, menjemukan, satu sisi, biasanya tidak berat, tidak bisa dilokasilir. Memberat saat berjalan dan mereda saat berdiri. Tidak dipengaruhi gerakan tertentu yang melibatkan gerakan spinal. Menjalar ke pantat dan kaki<\/p>\n

Contoh : <\/strong>Aneurisma, penyakit vaskuler perifer seperti insufisiensi arteria glutealis superior, claudicatio intermitten\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/strong><\/p>\n

\n

NYERI NEUROGENIK<\/u><\/strong><\/h3>\n

Penyebab : <\/strong>Proses patologis di saraf yang melintas di sepanjang punggung bawah<\/p>\n

Sifat Nyeri :<\/strong> Nyeri dirasakan sepanjang distribusi serabut saraf. Nyeri bertambah dengan peregangan serabut saraf (pergerakan). Terdapat parestesia, disestesia, nyeri seperti kesetrum, hiperalgesia, alodinia dan sebagainya<\/p>\n

Contoh : <\/strong>Penekanan radiks saraf oleh HNP,\u00a0 penyempitan kanalis spinalis, pembengkakan artikulasio, tumor, fraktur<\/p>\n

\n

NYERI MUSKULOGENIK<\/u><\/strong><\/h3>\n

Penyebab : <\/strong>Disebabkan ketegangan otot, spasme otot, defisiensi otot dan otot yang hipersensitif<\/p>\n

Sifat Nyeri : <\/strong>Nyeri terlokalisir sesuai miotom yg spesifik. Nyeri saat otot kontraksi. Nyeri tekan (+). Terbatasnya rentang gerak otot<\/p>\n

Contoh : <\/strong>Sindroma miofasial, spasme otot<\/p>\n

\n

NYERI PSIKOGENIK<\/u><\/strong><\/h3>\n

Penyebab : <\/strong>Tidak spesifik, karena tidak didahului oleh kelainan organic. Dipicu oleh kondisi psikologis penderita. Disebabkan oleh ketegangan jiwa, atau kecemasan dan depresi<\/p>\n

Sifat Nyeri : <\/strong>Rasa nyeri hebat dan berkepanjangan. Manifestasi tidak sesuai penyebaran anatomik dan berpindah-pindah lokasinya<\/p>\n

Contoh : <\/strong>Ansietas, Depresi, Gangguan konversi, Malingering.<\/p>\n

\n

REREFENSI<\/strong><\/h3>\n

Maletic, V., & Raison, C. L. Neurobiology of depression, fibromyalgia and neuropathic pain<\/em><\/strong>. Frontiers in Bioscience, 14, 5291\u20135338 (2009).<\/p>\n

Mayer, E. A., & Bushnell, M. C. (2009).Functional pain syndromes<\/em><\/strong>: Presentation and pathophysiology. Seattle: IASP Press.<\/p>\n

Suryamiharja, A. Yudiyanta, Suharjanti, I, Purwata, Thomas E. Konsensus Nasional 1 Diagnostik dan Penatalaksanaan Nyeri Neuropatik<\/em><\/strong>. Kelompok Studi Nyeri Perdossi. 2011;47-50<\/p>\n","protected":false},"excerpt":{"rendered":"

NYERI SPONDILOGENIK Penyebab : Kelainan yang berhubungan dengan proses patologi struktur columna spinalis. 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