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7/21/2019 Occupational Disease and Injury Rivia
http://slidepdf.com/reader/full/occupational-disease-and-injury-rivia 1/30
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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