gangguan meltal organik

7/25/2019 Gangguan Meltal Organik

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GANGGUAN MENTAL ORGANIK

(TERMASUK GANGGUAN MENTAL

SIMPTOMATIK)

Dr. H. Darmuis, SpKJ


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GANGGUAN MENTAL ORGANIK

(TERMASUK GANGGUAN MENTAL SIMPTOMATIK)

Ganuan m!n"a# $rani% & anuan m!n"a# 'an

!r%ai"an !nan p!n'a%i"*anuan sis"!mi% a"au $"a%

'an apa" ian$sis "!rs!niri

T!rmasu%, Ganuan m!n"a# simp"$ma"i%, imana

p!naru+ "!r+aap $"a% m!rupa%an a%ia" s!%un!r ari

p!n'a%i"*anuan sis"!mi% i #uar $"a% (!"ra-!r!ra#)


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Gamaran U"ama

/. Ganuan 0unsi K$ni"

misa#n'a, a'a ina" ( m!m$r') a'a pi%ir In"!#!-"),a'a !#a1ar (#!arnin)

2. Ganuan s!ns$rium,

misa#n'a , anuan %!saaran (-$ns-i$usn!ss) anp!r+a"ian (a""!n"i$n)

3. Sinr$m !nan manis4!s"asi 'an m!n$n1$# a#am

ian

5 p!rs!psi (+a#usinasi)

5 Isi pi%iran ( 6a+am*!#usi)

5 suasana p!rasaan an !m$si ( !pr!si, !mira,

-!mas)


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7#$% anuan M!n"a# Orani% M!nuna%an 2 %$!

5 Sinr$m Psi%$pa"$#$i% ( misa#n'a, m!m!nsia)

5 anuan 'an m!nasari (misa#n'a, p!n'a%i"A#8+!im!r)


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DEMENSIA

D!m!nsia m!rupa%an sua"u sinr$m a%ia"

p!n'a%i"*anuan $"a% 'an iasan'a !rsi4a" %r$ni%5pr$r!si4, imana "!rapa" anuan 4unsi #u+ur %$r"i%a#

'an mu#"ip!# (mu#"ip#! +i+!r -$r"i-a# 4un-"i$n), "!rmasu% i

#amn'a a'a ina", a'a pi%ir, $ri!n"asi, a'a "an%ap

(-$mpr!+!nsi$n), !r+i"un, %!mampuan !#a1ar,!ra+asa, an a'a ni#ai (1u!m!n")

umumn'a i$s!r"ai, an aa#a%a#an'a ia6a#i, !nan

%!m!r$s$"an (!"!ri$ra"i$n) a#am p!n!na#ian !m$si,

p!ri#a%u s$sia#, a"au m$"i9asi +iup


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Pedoman Diagnostik

Aan'a p!nurunan %!mampuan a'a ina" anm a'a pi%ir,

'an sampai m!nanu %!i$a"an +arian

s!s!$ran(p!rs$na# a-"i9i"i!s $4 ai#' #i9in) s!p!r"i mani,

!rpa%aian , ma%an, %!!rsi+an iri, uan air,!sar, an

%!-i#.

Tia% aa anuan %!saaran (-#!ar -$ns-$usn!ss).

G!1a#a an isai#i"as sua+ n'a"a un"u% pa#in s!i%i" :

u#an.


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Dian$sis anin

5 Ganuan D!pr!si4 (03;503 S!an

(0?;50?/)


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0;; DEMENSIA PADA PEN@AKIT ALHEIMER

P!$man Dian$s"i%

T!rapa" !1a#a !m!nsia. On8!" "!r+aap (insii$us $n8!") !nan !"!ri$rasi #ama"

Tia% aan'a u%"i %#inis, a"au "!man ari p!m!ri%saan%+usus, 'an m!n'a"a%an a+6a %$nisi m!n"a# i"u apa"is!a%an $#!+ p!n'a%i" $"a% a"au sis"!mi% #ain 'an apa"m!nimu#%an !m!nsia (misa#n'a +ip$"ir$iism!,+ip!r%a#s!mia, !4isi!nsi 7/2, !4isi!nsi niasin, n!ur$si4i#is,+ir$s!4a#us, !r"!%anan n$rma#, a"au+!ma"$ma suura#


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Tia% aa s!ranan ap$p#!%"i% m!naa%, a"au !1a#a

n!ur$#$i% %!rusa%an $"a% #$%a# s!p!r"i +!mipar!sis,

+i#ann'a a'a s!ns$ri%, !!% #apanan panan ma"a,

an in%$+!r!n 'an "!r1ai a#am masa ini ari anuan

i"u ( 6a#aupun 4!n$m!na ini i %!muian +ari apa"

!r"umpan "ini+.


10/56

Dian$sis anin B Ganuan D!pr!si4 (03;503


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F00.0 Demensia pada Penyakit Alzheimer Onzet Dini

Diagnosis banding

D!m!nsia 'an $n8!"n'a s!!#um usia := "a+un

P!r%!manan !1a#a -!pa" an pr$r!si4 (!"!ri$rasi)

Aan'a ri6a'a" %!#uara 'an !rp!n'a%i" A#8+!im!r

m!rupa%an 4a%"$r 'an m!n'$%$n Dian$sis "!"api "ia%

+arus ipa"u+i


12/56

F00. Demensia pada penyakit Alzheimer Onzet !ambat.

Sama "!rs!u" ia"as, +an'a $n8!" s!sua+ usia :=

"a+un an p!r1a#anan p!n'a%i" 'an #aman an

iasan'a !nan anuan a'a ina" amaran

u"aman'a


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Sama "!rs!u" ia"as, +an'a $n8!" s!sua+ usia :=

"a+un an p!r1a#anan p!n'a%i" 'an #aman an

iasan'a !nan anuan a'a ina" amaran

u"aman'a


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0;;.2 D!m!nsia paa P!n'a%i"A#8+!im!r, Tip! "a% %+as

a"au Tip! ampuran A"'pi-a# $r Mi! T'p!)

@an "ia% -$-$% !nan p!$man un"u% 0;;.; a"au

0;;./, "ip! ampuaran aa#a+ !m!n"ia a#8+!im!r

9as%u#!r.


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F.00." Demensia pada penyakit alzheimer #$$

(unsp!-i4i!)


16/56

F0.DEMENSIA %AS&'!E(

Pedoman Diagnostik

T!rapa"n'a !1a#a !m!nsia. H!na'a 4unsi %$ni"i4 iasan'a "ia% m!ra"a (mun%in"!rapa" +i#ann'a a'a ina", anuan a'a pi%ir, !1a#an!ur$#$is 4$%a#). Da'a "i#i% iri (insi+") an a'a ni+i#(1um!n") s!-ara r!#a"i4 "!"ap ai%.

Sua"u $n8!" m!naa% a"au !"!ri$rasi 'an !r"a+apis!r"ai aan'a !1a#a n!ur$#$is 4$%a#, m!nin%a"%an%!mun%inan ian$sis !m!nsia 9as%u#!r.

Paa !!rapa %asus, p!n!"apan +an'a apa" i#a%u%an!nan p!m!ri%saan T5S-an a"au p!m!ri%saan

n!ur$pa"$#$is.


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Diagnosis )anding*5 D!#irium (0;=5)

5 D!m!nsia A#8+!im!r (0;;.5)

5 Ganuan A4!%"i4 (03;503 S!an (0?; B 0?/)

5 P!rara+an Suura# ("rauma"i% & S;:.=, n$n"rauma"i% &

I:2.;)


18/56

0;/.; D!m!nsia Fas%u#!r On8!" A%u"

7iasan'a "!r1ai s!-ara -!pa" s!sua+ s!ran%aians"r$%! a%ia" "r$m$sis s!r!r$9as%u#!r, !m$#ism! ,

a"au p!rara+an. Paa %asus5%asus 'an 1aran, sa"u

in4ar% 'an !sar apa" s!aai p!n'!an'a.


19/56

0;/./ D!m!nsia Mu#"i5in4ar%

On8!" #!i+ #ama", iasan'a s!"!#a+ s!ran%aian !pis$!

is%!mi% min$r 'an m!nimu#%an a%umu#asi ari in4ar%

paa par!n%im $"a%.


20/56

0;/.2 D!m!nsia Fas%u#ar Su%$r"i%a#

0$%us %!rusa%an a%ia" is%!mia paa sus"ansia a#a i

+!mis4!ri s!r!ra#, 'an apa" iua s!-ara %#ini an

iu%"i%an !nan T S-an. K$r"!s s!r!ri iasan'a

"!"ap ai%, 6a#aupun !mi%ian amaran %#inis masi+ mirip

!nan !m!nsia paa p!n'a%i" a#8+!im!r.


21/56

F0.+ Demensia %ask,lar -amp,ran &ortikal dan S,bkortikal

K$mp$n!n -ampuran %$r"i%a# an su%$r"i%a# apa" iua

ari amaran %#inis, +asi# p!m!ri%saan ( "!rmasu%

au"$psi) a"au %!uan'a.


22/56

0;/. D!m!nsia Fas%u#!r Lainn'a

0;/.< D!m!nsia Fas%u#!r @TT


23/56

0;2 D!m!nsia paa p!n'a%i" #ain @DK

0;2.; !m!nsia paa p!n'a%i" Pi-%.

Aam'a !1a#a !m!nsia 'an pr$r!si4

Gamaran n!ur$pa"$#$is !rupa a"r$4i s!#!%"i4

4ari #$us 4r$n"a#is 'an m!n$n1$#, is!r"ai

!u4$ria, !m$si "umpu#, an p!ri#a%us$sia#

'an%asar, isin+iisi, an apa"is a"au !#isa+.

Mani4!s"asi anuan p!ri#a%u paa ummumn'am!na+u#ui anuan a'a ina"


24/56

Dian$sis 7anin

5 D!m!nsia paa p!n'a%i" A#8+!im!r (0;;)

5 D!m!nsia Fas%u#!r (0;/)

5 D!m!nsia a%ia" p!n'a%i" #ainn'a (0;2.)


25/56

0;2./ D!m!nsia paa P!n'a%i" r!u"84!#"51a%$

P!$man ian$s"i%

Trias 'an sana" m!nara+ paa ian$sis p!n'a%i" ini5 D!m!nsia 'an pr$r!si m!rusa%

5 P!n'a%i"pirami$a# an !s"rapiramia# !nan

mi$%#$mus.

5 E#!%"r$!ns!4a#$ram 'an %+as Lain (Tri4asi%)


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0;2.2 D!m!nsia paa p!n'a%i" Hun"in"$n

P!$man Dian$s"i%

Aa %ai"an an"ara anuan !ra%an %$r!i4$rm(-+$r!i4$rm), D!m!nsia, an ri6a'a" %!#uara !nanp!n'a%i" +un"in"$n.

G!ra%an %$r!i4$rm 'an in9$#un"!r, "!ru"ama paa 6a1a+,"anan an a+u, a"au -ara !r1a#an 'an %+as,

m!rupa%an mani4!s"asi ini ari anuan ini. G!1a#a iniiasan'a m!na+u#ui !1a#a !m!nsia, an 1aran s!%a#i!1a#a ini "!rs!u" "a% mun-u# sampai !m!nsia m!n1aisana" #an1u".

G!1a#a !m!nsia i"anai !nan anuan 4unsi #$us4r$n"a#is paa "a+ap ini, !nan a'a ina" r!#a"i4 masi+"!rp!#i+ara, sampai saa" s!#an1u"n'a.


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0;2.3 D!m!nsia paa P!n'a%i" Par%ins$n

D!m!nsia 'an !r%!man paa s!s!$ran !nan

p!n'a%i" par%ins$n 'an sua+ para+, "ia% aa amaran%#inis %+usus 'an apa" i"ampi#%an


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E;2.C D!m!nsia paa P!n'a%i" HIF (Human Imumun$!-i!n-'

Firus)

D!m!nsia 'an !r%!man paa s!s!$ran !nan

p!n'a%i" HIF, "ia% i"!mu%an p!n'a%i" a"au %$nisi #ain

'an !rsamaan s!#ain in4!%si HIF i"u.


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0;2. D!m!nsia paa p!n'a%i" Lain @DT @DK

D!m!nsia 'an "!r1ai s!aai mani4!s"asi a"au

%$ns!%u!nsi !!rapa ma-am %$nisi s$ma"i% an

s!r!!ra# #ainn'a.


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0;3 DEMENSIA @TT

Ka"!$ri ini iuna%an i#a %ri"!ria umum un"u% ian$sa

!m!nsia "!rp!nu+i, "!"api "ia% mun%in ii!n"i4i%asipaa

sa#a+ sa"u "ip! "!r"!n"u (0;;.;50;2.;)


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0;C SINDROM AMNESIK ORGANIK, 7UKAN AKI7AT

ALKOHOL, DAN AT PSIKOAKTI0 LAINN@A

Aan'a H!na'a a'a ina", !rupa !r%urann'a a'aina" 1an%a p!n!% (#!ma+n'a !#a1ar ma"!ri aru)

anamn!sa an"!ra an r!"rra, an m!nurunn'a

%!mammpuan un"u% m!nina" an m!nun%ap%an

p!na#aman "!#a+ #a#u a#am uru"an "!ra#i% m!nuru"

%!1aian

Ri6a'a" a"au u%"i n'a"a aan'a -!!ra, a"au p!n'a%i"

paa $"a% ("!ru"ama i#a m!n!nai s"ru%"ur i!ns!4a#$n an

"!mp$ra# m!ia# s!-ara i#a"!ra#)

Tia% !r%urann'a a'a ina" s!!ra(imm!ia"! r!-a##)

misa#n'a iu1i un"u% m!nina" !r!" an%a, "ia% aa

anuan p!r+a"ian (a""!n"i$n) an %!saaran

(-$ns-$usn!ss) an "ia% aa +!na'a in"!#!%"ua# s!-ara

umum.


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Dian$sisi 7anin

B Sinr$m $rani% #ain !nan +!na'a a'a ina" 'an m!n$n1$#(0;;50;3, 0;=)

B Anamn!sa is$sia"i4 (0CC.;):+!na'a a'a ina" a%ia" anuan!pr!si4 (03;503


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0;= DELIRIUM 7UKAN AKI7AT ALKOHOL DAN AT

PSIKOAKTI0 LAINN@A

P!$man Dian$s"i%

Ganuan %!saaran an p!r+a"ian B Dari "ara4 %!saaran !r%au" samapai !nan %$ma

B M!nurunn'a %!mampuan un"u% m!nara+%an,m!musa"%an, m!mp!r"a+an%an, an m!na#i+%an p!r+a"ian

Ganuan %$ni"i4 s!-ara umum B Dis"$rsi p!rs!psi, i#usi an +a#usi$nasi5 s!rin%a#i 9isua#

B H!na'a a'a pi%ir an p!n!r"ian as"ra%, !nan a"au"anpa a+am 'an !rsi4a" s!m!n"ara, "!"api sana" %+as

"!rapa" in%$+!r!nsi 'an rinanB H!na'a a'a ina" s!!ra an 1an%a p!n%, namun a'aina" 1an%a pan1an r!#a"i4 masi+ u"u+

B Dis$ri!n"asi 6a%"u, paa %asus 'an!ra", "!rapa" 1uais$ri!n"asi "!mpa" an $ran


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angg,an Psikomotor *

Hip$ a"au +ip!r5a%"i9i"as an p!naa#i+an a%"i9i"as 'an

"ia% "!rua ari sa"u %! sa"u 'an #ain

a%"u !r!a%si 'an #!i+ pan1an

Aus p!mi-araan 'an !r"ama+ a"au %uran

R!a%si "!rp!ran1a" m!nin%a"


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angg,an skl,s tid,r/bang,n*

Ins$mia a"au, paa %asus 'an !ra" , "ia% apa" "iursama s!%a#i a"au !ra#i%n'a si%#us "iur

anunm!nan"u% paa sian +ari G!1a#a 'an uru% paa ma#am +ari

Mimpi 'an m!nanu a"au mimpi uru%, 'an apa"!r#an1u" m!n1ai +a#usianasi s!"!#a+ anun "iur

angg,an emosional*

Misa#n'a !pr!si, ani!"as a"au "a%u", #!%as mara+,!u4$ria, apa"is, a"au rasa %!+i#anan a%a#

Onzet biasa epat1 per2alanan penyakit hilang timb,lsepan2ang hari1 dan keadaan it, berlangs,ng k,rangdari 3 b,lan


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Dian$sa 7anin

5 Sinr$m $rani% #ainn'a. D!m!nsia (0;;50;3)

5 Ganuan Psi%$"i% a%u" an s!m!n"ara (023.)

5 S%i8$4r!nia a#am %!aaan a%u" (02;.)5 Ganuan A4!%"i4 $n4usi$na#0!a"ur!s (03;503


37/56

F04.0 Delir,m $ak bert,mpang $indih dengan Demensia

D!#irium 'an "ia% Tumpan Tini+ !nan D!m!nsia

'an sua+ aa s!!#umn'a


38/56

F04. Deliri,m1 )ert,mpang $indih dengan Demensia

K$nisi 'an m!m!nu+i Kri"!ria !#irium ia"as "!"api

"!r1ai paa saa" sua+ aa !m!nsia


39/56

0;=. D!#irium Lainn'a

0;=.< D!#irium @TT


40/56

0;: GANGGUAN MENTAL LAINN@A AKI7AT KERUSAKAN

an DIS0UNGSI OTAK an PEN@AKIT 0ISIK

Aan'a p!n'a%i", %!rusa%an a"au is4unsi $"a%, a"au

p!n'a%i" 4isi% sis"!mi% 'an i%!"a+ui !r+uunan !nan

sa#a+ sa"u sinr$m m!n"a# 'an "!r-an"um

Aan'a +unan 6a%"u ( a#am !!rapa minu a"au

u#an) an"ar p!r%!anan p!n'a%i" 'an m!nasari !nan

"imu#n'a sinr$m m!n"a#

K!s!mu+an ari anuan M!n"a# s!"!#a+ p!rai%an a"au

i+i#an%ann'a p!n'!a 'an m!nasarin'a


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K!s!mu+an ari anuan m!n"a# s!"!#a+ p!rai%an a"au

i+i#an%ann'a p!n'!a 'an m!nasar

Tia% aan'a u%"i 'an m!nara+ paa p!n'!a

a#"!rna"i4 ari sinr$m m!n"a# ini (s!p!r"i p!naru+ 'an

%ua" ari ri6a'a" %!#uara a"au p!naru+ s"r!ss s!aai

p!n-!"us)


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0;:.; Ha#usinasi Orani%

P!$man Dian$s"i%Kri"!ria Umum "!rs!u" ia"as (0;:)

Aan'a +a#usinasi a#am s!a#a !n"u% (iasan'a

9isua# a"au aui"$ri%), 'an m!n!"ap a"au !ru#an

K!saaran 'an 1!rni+ ("ria% !r%au")

Tia% aa p!nurunan 4unsi in"!#!% 'an !rma%na "ia%

aa anuan a4!%"i4 'an m!n$n1$#

Tia% 1!#as aan'a 6a+am (s!rin%a#i insi+" masi+ u"u+)


43/56

Dian$sis 7anin

5 Ha#usinas a#%$+$#i% (0/;.=2)

5 S%i8$4r!nia (02;.5)


44/56

0;:.C Ganuan !mas (Ani!"as) Orani%

Ganuan 'an i"anai $#!+ amaran u"ama ari

anuan -!mas m!n'!#uru+(0C/./) Ganuan pani%

(0C/.;) a"au -ampuran ari %!uan'a, "!"api "imu#

s!aai a%ia" anuan$rani% 'an apa"

m!n'!a%an is4unsi $"a% (s!p!r"i !pi#!psi #$us"!mp$ra#is, "ir$"u%si%$sis, a"au 4!$%r$m$si$"$ma)


45/56

0;:.= Ganuan Dis$sia"i4 Orani%

Ganuan 'an m!m!nu+i p!rs'ara"an un"u% sa#a+ sa"u

anuan a#am anuan is$sia"i4 (0CC.5) an

m!mnu+i %ri"!ria umum un"u% p!n'!a $rani%


46/56

0;:.: Ganuan As"!ni% Orani%

Ganuan 'an i"anai $#!+ #ai"#i"as a"au "ia%

"!r%!na#in'a !m$si 'an n'a"a an m!n!"ap, %!#!#a+an,

a"au !raai s!nsasi 4isi% 'an "ia% n'aman ( s!p!r"i

pusin) an n'!ri, s!aai a%ia"aan'a anuan

$rani%( s!rin "!r1ai a#am +uunan !nan p!n'a%i"

s!r!r$9as%u#!r a"au +ip!r"!nsi)


47/56

0;:.? anuan K$ni"i4 Rinan

Ganuan u"aman'a aa#a+ "urun'a p!nampi#an %$ni"i4

( "!rmasu% +!na'a a'a ina", a'a !#a1ar, su#i"

%$ns!n"rasi)amn!s"i% $rani% (0;C), a"au !#irium (0;=.5)

Ganuan ini apa" m!na+u#ui, m!n'!r"ai , a"au

m!ni%u"i !raai ma-am anuan in4!%si an

anuan 4isi%, ai% s!r!ra# maupun sis"!mi%.


48/56

F03.5 angg,an Mental !ain #D$ Akibat &er,sakan

dan Dis6,ngsi Otak dan penyakit 6isik

$n"$+n'a ia#a+ %!aaan suasana p!rasaan (m$$)an$rma# 'an "!r1ai %!"i%a a#am p!n$a"an !nan

s"!r$ia a"au $a" an"i!pr!si

T!rmasu% psi%$sis !pi#!p"i% @TT


49/56

0;:.< Ganuan m!n"a# @TT A%ia" K!rusa%an

an Dis4unsi O"a% an P!n'a%i" 0isi%

0;? GANGGUAN KEPRI7ADIAN an PERILAKU AKI7AT


50/56

PEN@AKIT, KERUSAKAN an DIS0UNGSI OTAK

0;?.; Ganuan K!priian Orani%

P!$man Dian$s"i%

Ri6a'a" 'an 1!#as a"au +asi# p!m!ri%saan 'an man"ap

m!nun1u%%an aan'a p!n'a%i", %!rusa%an , a"au

is4unsi $"a%

Dis!r"ai, ua a"au #!i+, amaran !ri%u"

a. P!nurunan 'an %$nsis"!n a#am %!mampuan un"u%

m!mp!r"a+an%an a%"i9i"as 'an !r"u1uan ($a# ir!-"!

a-"i9i!s) "!ru"am 'an m!ma%aa 6a%"u #!i+ #ama an

p!nunaan %!puasan


51/56

. P!rua+an p!ri#a%u !m$si$na#, i"anai $#!+ #ai#i"as

!m$si$na#, %!!miraan 'an an%a# an "a%

!ra#asan (!u4$ria, %!1!na%aan 'an "ia% s!paan),

mua+ !rua+ m!n1ai iri"ai#i"as a"au -!"usanamara+ an ar!si 'an s!1!na% paa !!rapa

%!aaan, apa"is apa" m!rupa%an amaran 'an

m!n$n1$#

-. P!nun%apan %!u"u+an an %!ininan "anpam!mp!r"iman%an %$ns!%u!nsi a"au %!#a8iman

s$sia# (pasi!n mun%in "!r#ia" a#am "ina%an

iss$sia#, s!p!r"i m!n-uri, !r"ina% m!#ampaui a"as

%!s$panan s!%sua#, a"au ma%an s!-ara #a+ap a"au"ia% s$pan, %uran m!mp!r+a"i%an %!!rsi+an

irin'a)


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. anuan pr$s!s !rpi%ir, a#am !n"u% -uria a"aupi%iran paran$i, an*a"au pr!$%upasi !r#!i+an

paa sa"u "!ma 'an iasan'a as"ra% ( s!p!r"i s$a#

aama, !nar an Sa#a+)

!. K!-!pa"an an arus p!mi-araan !rua+ !nan

n'a"a, !nan amaran !p!r"i !rpu"ar5

pu"ar( -ir-ums"an"#ia#i"') i-ara an'a% ( $9!r5

in-#usi9!!n!ss), a#$" ( 9is-$si"'), san +ip!rra4ia

4. P!ri#a%u s!%sua# 'an !rua+ ( +ip$s!%sua#i"as a"au

p!rua+an s!#!ra s!%sua#)


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Dian$sis 7anin

B P!rua+an %!priaian'a+ !r#ansun

#ama s!"!#a+ m!na#ami %a"s"r$4a (0:2.;)

A%ia" P!n'a%i" Psi%ia"ri (0:2./)

B Sinr$m Pas-a B%$n"usi$ (0;?.2)B Sinr$m Pas-a Ens!4a#i"is (0;?./)

B Ganuan K!priaian K+as (0:;.5)


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0;?./ Sinr$m Pas-a Ens!4a#i"as

Sinr$m ini m!n-a%up p!rua+an p!ri#a%u sisa (r!siua#)s!"!#a+ %!s!mu+an ari sua"u !ns!4a#i"as 9irus a"aua%"!ri-a#

!1a#an'a "ia% %+as an !r!a ari sa"u $ran %!$ran #ain,ari sa"u p!n'a%i" in4!%si %! p!n'!a in4!%si#ainn'a, an 'anpas"i !r%ai"an !nan usia pasi!npaa saa" %!na in4!%si

Sinr$m ini "!r1ai s!sua+ "rauma %!p$a#a (iasan'a-u%up +!a" sampai !ra%ia" +i#ann'a %!saaran) an"!rmasu% !!rapa !1a#a 'an !raam s!p!r"i n'!ri%!pa#a, pusin ( "ia% s!p!r"i amaran 9!r"i$ 'an

as#i), %!#!#a+an, iri"ai#i"as, su#i" !r%$ns!n"rasi anm!#a%u%an sua"u "uas m!n"a#, +!na'a a'a ina",ins$mnia, m!nurunn'a "$#!ransi "!r+aap s"r!ss, !1$#a%!m$si$na#, a"au "!r#ia" a#%$+$#.


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F07.5 angg,an &epribadian dan Perilak, Organik !ain

Akibat Penyakit1 &er,sakan dan Dis6,ngsi Otak

Sinr$m "!r"!n"u an "!rua ari

p!rua+an %!priaian an p!ri#a%u

a%ia" %!rusa%an , p!n'a%i" a"au is4unsi

$"a%, i #uar 'an "!#a+ i-an"um%an paa0;?.;50;?.2 an %$nisi !nan "ara4

+!na'a 4unsi %$ni"i4 rinan 'an !#um

sampai !m!nsia !nan anuanm!n"a# pr$r!si4 s!p!r"i p!n'a%i"

a#8+!im!r, par%ins$n, s


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0;?.< Ganuan K!priaian an P!ri#a%u Orani% @TT

A%ia" P!n'a%i", K!rusa%an an Dis4unsi O"a%.

F0" angg,an Mental Organik Ata, Simtomatik #$$

$ermas,k * psikosis organik1 psikosis simtomatik #$

gangguan meltal organik

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