Dr. Ahmad Rasyid, SpPD-KP, FINASIM PDF
Preview Dr. Ahmad Rasyid, SpPD-KP, FINASIM
Dr. Ahmad Rasyid, SpPD-KP, FINASIM Pekerjaan : Kepala Divisi Pulmonologi Bag.IPD FK UNSRI /RSMH Palembang Jabatan : Ketua PERPARI Cab Sumsel 2006- sekarang Bandung Integrated Respiratory Care IV |16–18 September 2016 DIAGNOSTIC APPROACH OF COPD IN THE ABSENCE OF SPIROMETRY Ahmad Rasyid , dr, SpPD, K-P, FINASIM Sub. Bagian Pulmonologi FK UNSRI/RSMH Palembang ATLAS ID 364896 / April 2017 Global Strategy for Diagnosis, Management and Prevention of COPD Definisi PPOK 2014 PPOK, penyakit umum yang dapat dicegah dan diobati, ditandai oleh keterbatasan aliran udara yang menetap yang biasanya progresif dan berkaitan dengan respons peradangan yang meningkat di jalan napas dan paru-paru terhadap partikel atau gas-gas berbahaya. Eksaserbasi dan komorbiditas berperan dalam derajat keparahan seorang pasien secara keseluruhan © 2016 Global Initiative for Chronic Obstructive Lung Disease Differential Diagnosis: COPD and Asthma COPD ASTHMA • Onset early in life (often • Onset in mid-life childhood) • Symptoms slowly • Symptoms vary from day to day progressive • Symptoms at night/early morning • Long smoking history • Allergy, rhinitis, and/or eczema • Dyspnea during exercise also present • Largely irreversible airflow • Family history of asthma limitation • Largely reversible airflow limitation Global Strategy for Diagnosis, Management and Prevention of COPD Mekanisme yang Mendasari Pembatasan Aliran Udara pada PPOK Penyakit pada saluran napas kecil Kerusakan Parenkim Inflamasi pada saluran napas • Kehilangan ikatan alveolar Fibrosis pada saluran napas, • Penurunan elastisitas recoil luminal plugs Peningkatan hambatan udara Pembatasan Aliran Udara © 2016 Global Initiative for Chronic Obstructive Lung Disease Global Strategy for Diagnosis, Management and Prevention of COPD Faktor Risiko untuk PPOK Genes Infections Socio-economic status Aging Populations © 2016 Global Initiative for Chronic Obstructive Lung Disease Global Strategy for Diagnosis, Management and Prevention of COPD Diagnosis PPOK PAPARAN DARI FAKTOR GEJALA RISIKO sesak napas tembakau batuk kronis pekerjaan sputum Polusi indoor/outdoor è SPIROMETRY: Dibutuhkan untuk menegakkan diagnosis © 2014 Global Initiative for Chronic Obstructive Lung Disease Diagnosis of COPD Assessment of symtoms and signs Measurement of airflow limitation Assessment of severity Differential diagnosis Symtomps Chronic cough Chronic sputum production Dyspnea; progressive & persistent History of exposure to risk factor Additional symptoms in severe disease: – Weight loss – Anorexia – Hemoptysis – Cough syncope DIAGNOSIS 1. Anamnesis 2. Pemeriksaan fisik 3. Sarana bantu : - foto toraks / CT scan - uji faal paru - laboratorium dan EKG 1. Anamnesis : - Batuk berdahak, khronik, berulang - Sesak, progresif dan persisten - Riwayat terpapar dg faktor2 Resiko → Perokok, polusi udara
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