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NYERI PUNGGUNG BAWAH

YUSTIANI DIKOT

BAG I.P.SARAF

F.K.UNJANI

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EPIDEMIOLOGI

Hampir 80 % pen!!" ine#ara in!$ri perna&

men#a'ami NPB.

Di USA(Pre)a'en$i *+,-0 %

In$ien$i */%

Di Ja1a Ten#a& 0% pen!!" 23+ a&!n perna&

meneria NPBPre)a'en$i pria 21ania *8.-% )$ *.3%.

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Definisi:

NPB(N4eri 4an# ira$a"an iaera& p!n##!n# 5a1a& arianara $!! i#a er5a1a& $ampai 'ipa 56"6n# 5a1a& 4ai!

aera& $a"ra' aa! '!m56$a"ra' an $erin# i$erai pen7a'arann4eri "eara& !n#"ai an "a"i.

N4eri apa 5er!pa (N4eri '6"a'

N4eri men7a'ar

Aa! "e!an4a. N4eri ari p!n##!n# 5a1a& apa men7a'ar "eempa 'ain/aa!

ari empa 'ain men7a'ar"ep!n##!n# 5a1a&

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Struktur Peka Nyeri

Sr!"!r pe"a n4eri ip!n##!n# 5a1a&(

K!'i/$!5"!ane!$/7arin#an 'ema"/66. Seni 9a$e/$eni $a:r6i'ia:a.

;i#amen '6n#i!ina'e aneri6r an p6$eri6r.

Peri6$e!m )ere5ra/

.Rai"$ $ara9. Pem5!'!& ara&.

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PEMBAGIAN NPB :

NPB en#an ana 5a&a4a i$ia'#ia. NPB n6n $pe$i9i"

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DIAGNOSIS:

Wa1an:ara( A1ian n4eri

;6"a$i/pen7a'aran "e!n#"ai an !ra$i. Inen$ia$/9re"1en$i an "!a'ia$ n4eri.

Fa"6r 4an# memper5era aa! merin#an"an .

Ba#aimana &!5!n#ann4a en#an #era"an/i$ira&a an1a"!.

Ke'!&an #an##!an $en$6ri"/m66ri" an 66n6mi". Ri1a4a p$i"6$6$ia'

Ri1a4a n4eri p!n##!n# 5a1a& an i$a5i'ia$.

Ri1a4a pen4a"i a&!'!.

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Pemeriksaan fisik/neurologik:

Tana )ia'.

Sa!$ !m!m>Inerne. Sa!$ ne!r6'6#i"(

:ara 5er7a'an/

e$ 'a$e@!e /Kerni#/Br!$in$"4/)a'$a)a.

Pemeri"$aan $en$i5i'ia$ Pemeri"$aan m66ri".

Pemeri"$aan re9'e 9i$i6'6#i$ an pa6'6#i$.

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Pemeriksaan penunang:

;a56ra6ri!m( Un!" "e:!ri#aan "e'ainan #in7a'/PID.

Dara&/!rine.

Rai6'6#i$ >ima#in#. F66 '!m56$a:ra'.

T>CRI

Ne!r69i$i6'6#i$( E'e:r6m46#rap&4 ner)e :6n!:i6n )e'6:i4

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PENA!ALA"SANAAN:

Penaa'a"$anaan NPB 5eni#na >n6n re 9'a#. NPB a"!(

K'a$i9i"a$i ia#n6$i".

Rea$$!ran:e.

A"i9ia$ ini an pr6#re$i9( ira& 5arin# ma"$ima' -, &ari.

Ana'#ei"(A$eamin6p&en. NSAID. Dapa iperim5an#"an m!$:'e re'a"$an

.

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NPB "r6ni"(

Cen#ena'i 4e''61 9'a#

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#uukan NBP:

Diperim5an#"an r!7!"an 5i'a NPB en#an(

Sinr6ma rai"!'er. Re 9'a#$.

NPB "r6ni".

Pr6#n6$a(?0% NPB $em5!& $p6nan aa! mem5ai" a'am3 min##!.

K!ran# ari 8 % 5er"em5an# men7ai NPB "r6ni"

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