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All Journal Medula Wellness And Healthy Magazine
Novtarina, Rizki
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Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Peran pemeriksaan radiologis: barium enema pada penyakit hirschprung Novtarina, Rizki
Wellness And Healthy Magazine Vol 2, No 1 (2020): February
Publisher : Universitas Aisyah Pringsewu (UAP) Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (55.524 KB) | DOI: 10.30604/well.60212020

Abstract

Hirschprung's Disease (HD) is an aganglionic disease segment of the parasympathetic nerves of Meissner and Auerbach. HD occurs in 1 in 5000 live births. Symptoms include late meconium, green vomiting, and abdominal distension. There are two types of HD short segments and long segments. This transitional zone is usually found in the rectosigmoid region or sigmoid colon, colon descendants, rectum, other colon and can occur in the small intestine. A medium according to type, 75 percent type of long segment, and 15% type of short segment. In the diagnosis, radiological imaging of the barium enema is needed with the position of Anteroposterior-Supine, Semi-Erect, Left Lateral Decubitus. There are seven typical images found (1) Transitional zones, (2) aganglionic segments, (3) Thickening of the mucosal portion of the proximal zone of the zone, (4) Slowing down of barium evacuation, (5) Comparison of rectosigmoid caliber less than 1, (6) Spasms aganglionic area, (7) Image of cobblestone mucosa. Immunohistochemical examination by suction biopsy through taking three places, namely two, three, and five centimeters (cm) from the anal verge.
DISFONIA PADA PASIEN DENGAN PARESIS UNILATERAL PLIKA VOKALIS : LAPORAN KASUS Munasiah, Melia; Novtarina, Rizki; Fedriani, Fivien
Medula Vol 14 No 5 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i5.1065

Abstract

Hoarse voice (dysphonia) is one of the reasons for consultation (1%) in all primary health services. Vocal cord paralysis is reduced movement or paralysis of the vocal cords. This situation is a manifestation of disease that occurs in the cranial cavity, larynx, thorax and mediastinum which causes paralysis of the vagus nerve and recurrent laryngeal nerve. Mr. I, a 56 year old male, came with complaints of sudden loss of voice. Complaints appeared 11 days before admission to the hospital (SMRS). Another complaint that is felt is that patients choke more easily when drinking. Complaints are felt to be getting worse day by day. The patient had previously been given antibiotics and anti-inflammatory drugs given at the puskesmas but there was no improvement either. The patient was previously hospitalized due to complaints of excessive vomiting. The patient's general status is within normal limits. LFO results showed adductor type unilateral paramedian vocal fold paralysis in the dextra paramedian position. The patient was given a physiotherapy plan and given steroids and vitamin B12. Voice therapy can be an effective treatment option in patients with unilateral paresis of the vocal folds and should be considered individualized according to the patient's age.
Co-Authors Fedriani, Fivien Munasiah, Melia