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    Sken 12 Blok 6

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    Andri Onnadio
    1) The document discusses the central nervous system and symptoms of stroke. 2) Stroke occurs when there is a disturbance in the brain's blood circulation, which can cause paralysis on one side of the body. 3) Understanding the basic neuroscience of the body is important to comprehend how illnesses like stroke affect fundamental functions.

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    Sken 12 Blok 6

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    Andri Onnadio
    52 views40 pages
    1) The document discusses the central nervous system and symptoms of stroke. 2) Stroke occurs when there is a disturbance in the brain's blood circulation, which can cause paralysis on one side of the body. 3) Understanding the basic neuroscience of the body is important to comprehend how illnesses like stroke affect fundamental functions.

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    SKEN 12 BLOK 6

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    SKEN 12 BLOK 6

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    1) The document discusses the central nervous system and symptoms of stroke. 2) Stroke occurs when there is a disturbance in the brain's blood circulation, which can cause paralysis on one side of the body. 3) Understanding the basic neuroscience of the body is important to comprehend how illnesses like stroke affect fundamental functions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    52 views40 pages

    Sken 12 Blok 6

    Uploaded by

    Andri Onnadio
    1) The document discusses the central nervous system and symptoms of stroke. 2) Stroke occurs when there is a disturbance in the brain's blood circulation, which can cause paralysis on one side of the body. 3) Understanding the basic neuroscience of the body is important to comprehend how illnesses like stroke affect fundamental functions.

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    You are on page 1of 40

    FAKULTAS KEDOKTERAN

    UNIVERSITAS KRISTEN KRIDA WACANA


    Jl. ARJUNA UTARA NO. 6, JAKARTA 11510

    Kepentingan Sistem Saraf


    Pusat dan Gejala Stroke

    utor: dr Danny A Hermaw


    KELOMPOK D2
    Farida Tunnida (102015045)
    Anggota :
    Andry Susanto (102012371)
    Irma Fajriah (102013354)
    Yesie Manise (102014202)
    Rizaldi Lukman Parmana (102015012)
    Elisabeth Elida Elyus M (102015062)
    Tessa Carolina (102015091)
    Aqmarina Borisman (102015137)
    Kabilen A/L Selvaraja (102015228)
    Skenario 12 & Problem
    Synopsis

    60 tahun
    UGD
    Keluhan:sakit kepala, rasa lemas
    bagian tubuh kanan, bicara tidak
    Keluhan sampingan: t.darah tinggi, koles
    jelas
    Diagosa: Stroke (penyempitan
    pem darah) Perawatan: Menurunkan tekanan darah,
    kolesterol, vit neurotropic,
    diet khusus
    Unknown Word
    Stroke

    Disturbance in the blood circulatory system of the brain

    There are two major kinds of stroke, ischemic and hemorrhagic.


    In an ischemic stroke a blood vessel becomes blocked, usually by a blood

    F = Face:Is one side of the face drooping down?


    A = Arm:Can the person raise both arms, or is one arm
    S = Speech:Is speech slurred or confusing?
    T = Time: Time is critical!!Call 9-1-1 immediately!
    Unknown Word

    Hemorrhagic

    https://www.google.co.id/url?
    sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0ahUKEwi7tae96afMAhWBto4KHdw8A0kQjB0IBg&u
    rl=http%3A%2F%2Fwww.dreamstime.com%2Fillustration
    %2Fpuncture.html&bvm=bv.119745492,d.c2E&psig=AFQjCNFhi0FvY4fOBNF1Gt6iQ16uQ4J7ug&ust=1461606175811767

    dural, subdural, intraparenchy


    Problem Analysis
    Hypothesis

    The CNS system is a very important system.


    Usually the damage done to the left side
    of the brain collaterally affects the right
    side of the body. Stroke is an example of
    disturbance it the brain circulation.
    Objectives

    To be able to understand the basic


    neuroscience of the body and how
    illness like stroke affects these
    basic functions
    Division of the nervous
    systems

    Bioninja.com
    P1: Nerve Transmission Mechanism

    a) Pathway

    Bioninja.com
    Nerve Transmission Mechanism

    urons in the CNS vs PNS


    wann cell vs oligodendri
    Proses????
    I M Playing Inside Elavator

    Neurium Layers 3@S


    Nerve Transmission Mechanism

    ) Types of neurons

    Medicalexprexx.com Polarity
    Nerve Transmission Mechanism

    NueroGlial??????
    Types and Functions of Glial Cells
    Astrocyte (Astroglia):Star-shaped cells that provide physical
    and nutritional support for neurons: 1) clean up brain "debris"; 2)
    transport nutrients to neurons; 3) hold neurons in place; 4) digest
    parts of dead neurons; 5) regulate content of extracellular space
    Microglia:Like astrocytes, microglia digest parts of dead
    neurons.
    Oligodendroglia:Provide the insulation (myelin) to neurons in
    the central nervous system.
    Satellite Cells:Physical support to neurons in the peripheral
    nervous system.
    Schwann Cells:Provide the insulation (myelin) to neurons in the
    Perbedaan Neuron dan Sel
    Glia
    Neurons have TWO "processes" called
    axons and dendrites....glial cells have
    only ONE.
    Neurons CAN generate action
    potentials...glial cells CANNOT. However,
    glial cells do have a resting potential.
    Neurons HAVE synapses that use
    neurotransmitters...glial cells do NOT
    have chemical synapses.
    Nerve Transmission Mechanism

    Akso-
    Dendrite
    Somatic
    Aksonic
    Serat otot
    Dendro-
    Dendrite
    Nerve Transmission Mechanism

    Sinapsis

    Bioninja.com
    Anatomical, Physiological and Histological understanding of CNS

    BROADMAN AREAS Akronchildren.com


    Anatomical, Physiological and Histological understanding of CNS

    ensory ascendant Tract Slideplayer.com


    Anatomical, Physiological and Histological understanding of CNS

    toric sensoric descendant tract


    Sldeshare.com
    Anatomical, Physiological and Histological understanding of CNS

    Continue
    Anatomical, Physiological and Histological understanding of CNS

    Plexus Brachialis

    Spinal Nerves Wikiwand.co


    Anatomical, Physiological and Histological understanding of CNS

    Britannica.com.
    http://www.britannica.com/science/cranial-nerve
    Anatomical, Physiological and Histological understanding of CNS

    Circle of Intechopen.com

    will
    Anatomical, Physiological and Histological understanding of CNS
    Gangguan Sistem Sensorik dan Motorik

    Wernicke's area(pusatbahasa)
    Kesulitan berbicara, memahami pembicaraan, bingung
    membedakan kiri dan kanan, sulit dalam membaca, menulis,
    menamai obyek dan berhitung.
    Broca's area (berbicara)
    Kesulitan dalamberbicaradankadang-kadang menulis.
    Parietallobusbagiankiri
    Hilangnyakoordinasiantaralengankanan dan tungkai.
    Daerah wajah dan anggota tubuh dari korteks
    themotor pada belah kiri otak
    Paralisis lengan kanan dan tungkai dan bagian kanan wajah.
    Daerah wajah dan lengan dari korteks sensorik
    Hilangnya sensasi lengan kanan dan bagian kananpenglihatan
    pada kedua mata.
    Anatomical, Physiological and Histological understanding of CNS

    Grey vs white matter


    Work of Neurotransmitters

    Bmeachem.co
    Work of Neurotransmitters
    Work of Neurotransmitters
    2 phase (anabolism and catabolism)
    Kolin+Asetil Koa=Ach (En: kolin asetilase)
    Ach=Asetat+kolin (En: asetilkolin
    esterase)
    Glutamate=GABA (En: Glutamate
    Decarborcsilase + Vitamin B6)
    Transduction pathway
    1 M-Reseptor-2 M-Target Cells
    Hormone x need 2nd massenger
    Work of Neurotransmitters
    Problem: Hormones, like adrenaline
    and molecule like glucagon too big!
    Solution Pathway: 1st mesenger-
    reseptor-Protein G (immunoglobin
    binding site)- adenyl cyclase- AMP
    Cyclic (2nd messenger)
    Problem 2: Rapid cell growth &
    mitotic cycles
    Solution Pathway: 1st Messenger-
    Reseptor-Guanyl Cyclase- GMP Cyclic
    General Neurotransmitter Hormone
    Function
    Serotonergic- concentration, secreate
    prolactin and stop pain transmission in
    back root of the soine
    Ach- motivation, perception, cognitif
    thinking and lack will cause Alzeimer
    Norepinefrin- secreate vasopresin and
    oxytisin. When tohether with serotonergic
    transmitters they contribue the food
    intake rate and body themperature
    Topography of Nerve Cells

    Peopleekuedu.com
    Topography of Nerve Cells
    Topography of Nerve Cells

    Function of myelin?
    Jump, prevent ion
    Neurotrophic Vitamins
    V-B1=Tymin
    MAIN
    Neurotrophic Vitamins
    V-B1=Tymin

    Wernicke Karkasoff???
    Symptoms of Korsakoff syndrome: Wernicke encephalopathy
    causes
    Inability to form new memories
    brain damage in
    Loss of memory, can be severe lower parts of the brain
    Making up stories (confabulation) called the
    Seeing or hearing things that are not thalamus and
    really there hypothalamus.
    Korsakoff psychosis results
    from
    permanent damage to areas

    ack of B1 and alcoholism of the brain involved with


    memory.
    Neurotrophic Vitamins
    B6@Pridok
    sin
    Glycogen from
    iptofan -Niasin Liver

    Coenzyme
    Transaminase,
    deaminase,
    karbosilase
    reactions

    Form
    Hemoglobin &
    Sfingolipid
    B12@
    Neurotrophic Vitamins
    Kabalamin
    Myelin
    Coenzyme in multimalinyl KoA-
    suksinyl KoA
    DNA&RNA
    Vegetarians Disease
    Problem 1: Ileum Absorption
    Decreases
    Problem 2: Neurogical Problem- cells
    from the epithelial layer of the
    digestive tract degenerates. Can
    Konklusi

    The CNS system is a very important


    system. Usually the damage done
    to the left side of the brain
    collaterally affects the right side of
    the body. Stroke is an example of
    disturbance it the brain circulation.
    Hypothesis accepted

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