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OLEH:

RIVIA KRISHARTANTY

04084084116067

OCCUPATIONAL DISEASE AND INJURY

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Occupational Disease

Occupational diseases have a long latent

 period.

Most occupational diseases cannot be

treated.

All occupational diseases can be

 prevented.

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OCCUPATIONAL HAA!D"

Ph#sical Ha$ards

Che%ical Ha$ards

&iological Ha$ardsMechanical Ha$ards

Ps#chosocial Ha$ards

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!OUT' O( ')PO"U!'

'ating* "%o+ing

,as* -apour*Aerosol* Dust*

(u%e* "%o+e* Mist*

(og

Pri%ar# irritants* Allerg#* "#ste%ic

toicit#

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Diseases due to Ph#sical Agents

Heat / Heat stro+e* &urns

Cold / (rost bite

Light / Miners N#stag%us* CataractPressure / Caisson disease* Air

e%bolis%

Diseases due to Che%ical Agents

,ases / CO* CO0* HCN* H0"*C"0

Dusts / Pneu%oconiosis

Metals / Lead* Mercur#* Chro%iu%*

Manganese

Che%icals / Acids* Al+alies

"olvents / &en$ene* Trichloroeth#lene

Diseases due to &iological Agents

 Hepatitis &* !abies* AID"*

Leptospirosis1*

Occupational Cancers

Cancer o2 "+in* Lungs* &ladder 

Occupational Der%atosisDer%atitis* 'c$e%a

Ps#chosocial Diseases

 Neurosis* Peptic ulcer* H#pertension

Musculo/s+eletal proble%s

Ocular proble%s

!eproductive proble%s

"+in proble%sPs#chosocial proble%s

Li2est#le proble%s

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'le%ents o2 Occupational Health "ervices

3 Medical treat%ent

3 Assess%ent and control o2 4or+ environ%ent

3 ,eneral preventive health %easures

3 Preventive %edical ea%inations

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Masalah Muskuloskletal

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Tempat yang se!ng mengena! masalahmuskuloskletal

Lehe

Lengan

Pegelangan tangan

Ja!Punggung

"ak!

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Penye#a#

Penggunaan #ele#!han l!gamen$ otot$ tulang$ten%on&

S!kulas! yang kuang pa%a s!stem muskuloskletal

 Ak!#at menge'akan akt!(!tas yang se!ng

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TENOSYNO)ITIS DE*+UER)AIN

APA ITU

TENOSYNOVITIS DE’QUERVAIN ,,

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DE-ENISI

De Quervain syndrome  merupakan penyaki den!an nyeri pada daera"prosesus si#oideus aki$a in%#amasi kronik pem$un!kus endon ooa$dukor po#isis #on!us dan eksensor po#isis $revis sein!!i radiusdisa# dan &epian pada kedua endon erse$u

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Anaomi dan %isio#o!i

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ETIOLOGI

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Eio#o!inya $e#um &e#asPendapa men!aakan $a"'a(aki$a adanya pene$a#an dan

de!enerasi mi)oid dan *ederaaki$a !erakan yan! di#akukan

$eru#an!

 Akt!(!tas.akt!(!tas yang mungk!n

menye#a#kan tauma ulangan pa%apegelangan tangan temasuk /akto

peke'aan$ tugas.tugas seketa!s$atau atlet &

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PATOFISIOLOGI

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  Ak!#at a%anya !n/lamas! ak!#at keg!atan yang #eulang 0m!kotauma kumulat!/1 %!lakukanpa%a !#u 'a! 0penggunaan #ele#!han pa%a 'a!.

 'a! tangan1.  mal/ungs! %a! tendon sheath  po%uks! 2a!an s!no(!al menuun   Plo/eas!

 'a!ngan !kat   pegeakan ten%on te#atas  Penyemp!tan pa%a tendon sheath   Pegeakan

%a! ke%ua otot ta%! teganggu

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DIAGNOSIS

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 ANAMNESIS

PEMERI"SAANPENUNJAN3

PEMERI"SAAN-ISI"

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3EJALA

Nyeri+ eruama pada !erakan kedua oo  pada saamen!!erakkan i$u &ari,adan! dapa dira$a aau di#i"a pene$a#an endon

s"ea -erakan eksensi aki% menim$u#kan nyeri yan! erus

menerus $en!kak dan dapa dira$a krepiasisedan!kan !erakan pasi% idak .Umumnya pasien ada ri'aya me#akukan !erakan

$eru#an! pada i$u &ari dan &ari,ondisi mem$uruk saa $erakivias dan #e$i" $aik

saa isira"a.

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Peme!ksaan -!s!k

Rasa nyeri di aspek radia# per!e#an!an an!an/i#kensein Tes 012Ter&adi pene$a#an pada komparemen sau daera"

diaas pro*.sy#oideus radius  daera" muda"nyeri

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Tes Provokasi

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 TERAPI PENGOBATAN

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Me%!kamentosa4 ant!.!n/lmas! non steo!% untukmenguang! nye!

Reha#!l!tas! Me%!k4

a.Fisioterapi: Teap! %!ng!n$ TENS$ S5D 0pa%a /asekon!k1

 .Ortoti!"#rosteti!: Mem#e!kan spl!nt untukmeng!st!ahatkan !#u 'a! %an pegelangan tangan

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-A34AR SP5INT

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LATI6AN PER3ELAN3AN TAN3AN

Opposition stretch: #eakkan an!an anda di aas me&a+ an!kaper!e#an!an an!an. ,emudian u&un! i$u &ari menyenu" u&un! &ari ke#in!kin!. Ta"an posisi erse$u se#ama kuran! #e$i" 6deik. U#an!i 78 ka#i.

Wrist stretch: den!an an!an yan! #ain+ 4anu an!an sisi yan!

#ain unuk mena"an da#am posisi %#eksi se#ama 79:;8 deik.,emudia den!an *ara yan! sama+ a"an da#am posisi eksensida#am renan! 'aku yan! sama. 5akukakan masin!:masin! ; ka#iunuk iap an!an. Sendi siku eap da#am kondisi #urus.

Wrist flexion: !en!!am se$ua" sa$un da#am posisi an!an

supinasi. 5akukan !erakan %#eksi pada sendi per!e#an!an an!anse*ara per#a"an. 5akukan 78 ka#i. 4e$an dapa se*ara per#a"andiin!kakan

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Se$aiknya per!e#an!an an!an diisira"akan

unuk semenara 'aku dan penderia men!"indarike!iaan seperi men*u*i+ menu#is+ d## yan! dapamemper$era ker&a oo per!e#an!an an!an+ aaumen!"enikan ker&a unuk semenara 'aku

Penderia diedukasi unuk serin! me#akukankompres din!in pada $a!ian per!e#an!an an!ankanannya di ruma".

EDU,ASI

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PRO-NOSIS(

Pada umunyapro!nosis pada

penyaki ini $aik

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