- Hermina Purwokerto<\/a><\/li>
- 06 July 2023<\/li><\/ul><\/div>
Often Considered the Same, Here's the Difference in Headaches and Dizziness<\/a><\/h3>
The difference between headaches and dizziness are two conditions that are often confused with each other because their symptoms are similar. Although both of these conditions occur in the head, headaches and dizziness have different causes and characteristics. This time we will discuss the differences between headaches and dizziness, including the symptoms that may be experienced and the underlying causes. \n\n 1. Headache is a common condition and usually feels like a sensation of pain or discomfort around the head. Headaches can range from mild to severe and can be chronic or episodic. The following are some common types of headaches: \n\n \n Tension Headache: Tension headaches are the most common type of headache. Common symptoms include a feeling of tightness or aching pain around the head, a heavy sensation in the forehead, and neck and shoulder pain. \n Migraine Headaches: Migraine headaches are the more intense type and are often accompanied by other symptoms such as nausea, vomiting, and sensitivity to light and sound. Usually, migraines occur on one side of the head and can last from several hours to several days. \n Cluster Headache: Cluster headache is a rare but very severe type of headache. These headaches usually occur on one side of the head and are accompanied by other symptoms such as red eyes, stuffy or runny nose, and excessive sweating. \n \n\n 2. Dizziness is a feeling of unsteadiness or loss of balance, which is often accompanied by a spinning or spinning sensation around the head. Dizziness can be caused by several factors, including: \n\n \n Vertigo: Vertigo is a type of dizziness caused by a problem with the balance system in the body. A person experiencing vertigo may feel like everything is spinning or moving, and this can be accompanied by nausea, vomiting, and difficulty walking. \n Drop in Blood Pressure: Dizziness can also occur in response to a sudden drop in blood pressure, which can be caused by factors such as a rapid change in body position or dehydration. Dizziness due to decreased blood pressure often lasts a moment and goes away on its own. \n Medication Side Effects: Some drugs, especially those used to treat blood pressure or heart conditions, can cause dizziness as a side effect. If a person experiences dizziness after taking a new drug, it is important to consult a doctor to evaluate the appropriate treatment. \n \n\n It is important to remember to provide an overview of the differences between headaches and dizziness. If a Hermina friend experiences severe, prolonged headaches or dizziness, or is accompanied by other worrying symptoms, you should consult a doctor or health professional for proper diagnosis and treatment. Hermina Purwokerto Hospital has a neurologist who can consult Hermina's friends. \n\n To make it easier to access services & registration at Hermina Purwokerto Hospital, here's how: \n\n \n Download the mobile application on Playstore (Type Halo Hermina) \n Contact Call Center 1500488 \n Through the website -> www.herminahospitals.com \n Through the Halodoc application \n \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Kendari<\/a><\/li>
- 21 December 2022<\/li><\/ul><\/div>
Dizzy With Spinning Sensation? Be Alert, It Could Be “VERTIGO”<\/a><\/h3>
Vertigo is a wrong perception of the sensation of body movement, usually the sensation of movement that does not match the sensation of head movement, so that the patient will feel dizzy. Dizziness that is felt depends on how the type of vertigo is experienced. One of the main symptoms of vertigo is dizziness, whether you feel spinning or you feel like you are about to fall. Vertigo complaints experienced depend on the type of vertigo experienced by the patient. In general, vertigo is divided into two, namely vestibular vertigo and non-vestibular vertigo. Vestibular vertigo is a type of vertigo due to disturbances in the vestibular system. The vestibular system is one of our balance systems. There are 3 balance systems that regulate the balance of our body, namely the visual system, the vestibular system, and the somato sensory system. These three balances will affect our balance. Abnormalities in any of these balance systems can cause vertigo. If the patient experiences vestibular vertigo, then what is disturbed is the vestibular system. And if the patient experiences non-vestibular vertigo, then what is disturbed is the visual system or the somato-sensory system.\n \n\n Vestibular vertigo itself is further divided into two, namely peripheral vestibular vertigo and central vestibular vertigo, common complaints that are felt are usually dizziness with a spinning sensation, can be accompanied by nausea / vomiting, can also be followed by hearing loss. Whereas non-vestibular vertigo, complaints that are usually felt like dizziness feel like floating without the sensation of spinning. These complaints are similar to those you feel when you get land/sea sickness or feel dizzy in a crowd, or can be affected by other diseases. So, in general, patients who come to the doctor will complain of vertigo which varies according to the location of the abnormality. Vertigo can stand alone or occur due to other diseases, such as migraines, chronic anemia, hypotension, etc. The type of therapy is according to the type of vertigo complained of by the patient. For example, patients with vestibular vertigo due to benign changes in head position, the main therapy is maneuver therapy which can be done at home.\nThose are some of the most common types of vertigo experienced. If a Hermina friend has vertigo symptoms like the article above, immediately change your lifestyle to be healthier and don't forget to always consult with a specialist. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Samarinda<\/a><\/li>
- 17 October 2022<\/li><\/ul><\/div>
Is your head frequently dizzy from spinning? Recognize the symptoms of vertigo.<\/a><\/h3>
Dizziness or headaches are one of the most common health complaints. Even dizziness is a symptom that almost always appears in various types of diseases. Both mild and chronic diseases suffer over a long period of time. Symptoms of dizziness that occur can include a heavy head or a partial or complete headache. \n\n In addition, dizziness can also be a sign of certain diseases that should not be underestimated, namely vertigo. The symptoms of dizziness in vertigo are different from those of dizziness in general. Vertigo is a health disorder that causes a sensation of dizziness where the patient feels as if the room or the surrounding environment is spinning. \n\n Vertigo can occur when a person looks down from a height. This condition can usually trigger temporary or persistent dizziness symptoms. In ongoing conditions, it is usually caused by problems with the inner ear or the nervous system of the brain. \n\n Causes of Vertigo Vertigo is a symptom of certain health disorders that can occur in the ears or brain. The following are some of the common causes of the condition: \n\n \n BPPV stands for benign paroxysmal positional vertigo. It is the most common cause of vertigo and creates an intense, brief feeling that the person is spinning or moving. These episodes are triggered by a rapid change in head movement, such as a blow to the head. \n Infection. A viral infection of the vestibular nerve, called vestibular or labyrinthine neuritis, can cause intense and constant vertigo. \n Meniere's disease. When excess fluid builds up in the inner ear, it can trigger sudden episodes of vertigo. Note that these episodes can last for several hours. \n Migraine. Migraine vertigo can last from minutes to hours. \n Head or neck injury. Vertigo is a common symptom of a traumatic head or neck injury. especially if the injury caused damage to the vestibular system. \n Use of drugs. Certain medications can cause vertigo, along with other symptoms. For example, such as dizziness, hearing loss, and tinnitus, or ringing in the ears. \n \n\n \n\n Vertigo Symptoms \n\n Here are some of the most common vertigo symptoms: \n\n \n Headache with a sensation of moving or spinning \n It is difficult to balance the body \n Experiencing a drunken feeling like motion sickness \n Nausea and vomiting \n Ringing in the ears or tinnitus \n Full feeling in the ear \n Headache \n Have nystagmus, in which the eye moves uncontrollably from side to side. \n \n\n \n\n Treatment of Vertigo \n\n Actually, some cases of vertigo can heal without treatment. This is because the brain has successfully adapted to changes in the inner ear. However, as previously explained, this condition is not a disease but a symptom of a health problem. Therefore, if treatment is needed, it will focus on the underlying cause. Here are some common vertigo treatments: \n\n \n Drug use. Treating the cause of vertigo can help relieve symptoms. For example, if vertigo is a byproduct of an infection, your doctor may prescribe antibiotics or steroids to help reduce inflammation. \n Vestibular rehabilitation. If vertigo is the result of an inner ear problem, this type of physical therapy can help reduce symptoms. Vestibular rehabilitation can help strengthen the other senses so that they can compensate for episodes of vertigo. \n Canalith repositioning procedure (CRP). If a person has BPPV, a canalith repositioning maneuver may be performed. This treatment aims to help move calcium deposits into the inner ear space. \n Surgery. When vertigo is caused by a serious underlying problem, such as a brain tumor or neck injury, surgery may be necessary. \n \n\n Hopefully this article is useful for Hermina's friends. If you and your family experience symptoms of dizziness or headaches that don't go away, don't hesitate to immediately consult a doctor trusted by Hermina's best friend. \n<\/p><\/div><\/div><\/div>
<\/a><\/div>- Hermina Balikpapan<\/a><\/li>
- 16 June 2022<\/li><\/ul><\/div>
Vertigo ditinjau dari aspek Neurologi di Fasilitas Pelayanan Kesehatan Primer<\/a><\/h3>
Pengenalan \n\n \n Vertigo and dizziness à the most frequent symptoms in outpatient practices, \n Most vestibular disorders are manageable, but often under- and misdiagnosed in primary care à prolonged absence from work, increased resource use and, potentially, in chronification. \n \n\n Definisi Vertigo \n\n \n Vertigo : persepsi yang salah dari gerakan seseorang atau lingkungan sekitarnya. \n Persepsi gerakan : \n a. Vertigo vestibular : rasa berputar yang timbul pada gangguan vestibular \n b. Vertigo non vestibular : rasa goyang, melayang, mengambang yang timbul pada gangguan sistem proprioseptif atau sistem visual \n \n\n Vertigo Vestibular \n\n \n Berdasarkan letak lesinya dikenal 2 jenis vertigo vestibular, \n\n \n Vertigo vestibular perifer à lesi di labirin dan nervus vestibularis \n Vertigo vestibular sentral à lesi di nucleus vestibularis batang otak, thalamus sampai ke korteks serebri. \n \n \n \n\n Anamnesis \n\n \n Deskripsi jelas keluhan pasien ( sakit kepala, rasa goyang, pusing berputar, rasa tidak stabil atau melayang ) \n Bentuk serangan vertigo : Pusing berputar atau rasa goyang atau melayang. \n Sifat serangan vertigo : periodik, kontinu, ringan atau berat. \n Faktor pencetus atau situasi pencetus : perubahan gerakan kepala atau posisi, situasi (keramaian dan emosional), suara \n Gejala otonom : Mual, muntah, keringat dingin ; berat atau ringan. \n Gejala gangguan pendengaran ( ex tinitus atau tuli ) \n Obat-obatan yang menimbulkan gejala vertigo ( ex streptomisin, gentamisin, kemoterapi ) \n Tindakan tertentu: temporal bone surgery, transtympanal treatment. \n Riwayat penyakit ( ex DM, hipertensi, kelainan jantung ) \n Defisit neurologis: fokal atau global ( hemihipestesi, baal wajah satu sisi, perioral numbness, disfagia, hemiparesis, penglihatan ganda, ataksia serebelaris, penurunan kesadaran ) \n \n\n Pemeriksaan Neurologis \n\n \n Kesadaran : kesadaran baik ( vertigo vestibuler perifer dan vertigo non vestibuler ), namun dapat menurun pada vertigo vestibuler sentral. \n Nervus kranialis : pada vertigo vestibularis sentral dapat mengalami gangguan pada nervus kranialis III, IV, VI, V sensorik, VII, VIII, IX, X, XI, XII. \n Motorik : kelumpuhan satu sisi (hemiparesis). \n Sensorik : gangguan sensorik pada satu sisi (hemihipestesi). \n Keseimbangan (pemeriksaan khusus neuro-otologi ) \n Tes nistagmus: \n Nistagmus disebutkan berdasarkan komponen cepat, sedangkan komponen lambat menunjukkan lokasi lesi: unilateral, perifer, bidireksional, sentral. \n Tes Rhomberg : \n mata terbuka pasien jatuh, kemungkinan kelainan pada serebelum. \n mata tertutup pasien cenderung jatuh ke satu sisi, kemungkinan kelainan pada sistem vestibuler atau proprioseptif. \n Tes Rhomberg dipertajam (Sharpen Rhomberg): \n mata terbuka pasien jatuh, kemungkinan kelainan pada serebelum. \n mata tertutup pasien cenderung jatuh ke satu sisi, kemungkinan kelainan pada sistem vestibuler atau proprioseptif. \n Keseimbangan (pemeriksaan khusus neuro-otologi ) \n Tes jalan tandem: pada kelainan serebelar, pasien tidak dapat melakukan jalan tandem dan jatuh ke satu sisi. Pada kelainan vestibuler, pasien akan mengalami deviasi. \n Tes Fukuda, dianggap abnormal jika deviasi ke satu sisi lebih dari 30 derajat atau maju mundur lebih dari satu meter. \n Tes past pointing, pada kelainan vestibuler ketika mata tertutup maka jari pasien akan deviasi ke arah lesi. Pada kelainan serebelar akan terjadi hipermetri atau hipometri. \n \n\n \n\n Pemeriksaan Penunjang \n\n \n Dilakukan sesuai dengan etiologi, \n Dapat dipertimbangkan pemeriksaan : \n \n Pemeriksaan darah rutin seperti elektrolit, kadar gula darah direkomendasikan bila ada indikasi tertentu dari hasil anamnesis dan pemeriksaan fisis, \n CT Scan atau MRI Brain \n \n \n \n\n \n\n Tatalaksana \n\n \n Terapi simptomatis : \n\n \n Antihistamin (dimenhidrinat, difenhidramin, meksilin, siklisin) \n\n \n Dimenhidrinat, lama aktivitas obat ini ialah 4 – 6 jam, diberikan dengan dosis 25 mg (1 kapsul) – 50 mg, 4 kali sehari per oral. \n Difenhidramin HCl, lama kerja obat ini ialah 4 – 6 jam. parenteral (im atau iv), dengan dosis 25 mg – 50 mg \n \n \n Senyawa Betahistin (suatu analog histamin): \n \n Betahistin Mesylate dosis 12 mg, 3 kali sehari per oral. \n Betahistin HCl, dosis 8-24 mg, 3 kali sehari. Maksimum 6 tablet dibagi dalam beberapa dosis. \n \n \n Kalsium Antagonis \n Cinnarizine, mempunyai khasiat menekan fungsi vestibular. Dosis biasanya ialah 15-30 mg, 3 kali sehari. \n \n \n \n\n BPPV \n\n \n Idiopatik dan simptomatik \n Kriteria diagnosis : \n \n Vertigo vestibuler rekuren \n Durasi < 1 menit \n Diprovokasi oleh perubahan posisi : dari duduk terlentang, miring ke kiri atau ke kanan saat terlentang \n Min 2 dr manuver : merebahkan kepala, terlentang ke duduk, membungkuk ke depan \n \n \n Tidak disebabkan oleh penyakit lainnya \n Pemeriksaan neurologis :\n \n Nistagmus \n \n Kanal posterior : upbeat & torsional top pole beating toward downward ear \n Kanal horisontal : horisontal geotropic/ horisontal apogeotropic direction changing \n Kanal anterior : downbeat possibly with a slight torsional component \n \n \n Dix hallspike \n \n \n \n\n Terapi BPPV \n\n \n Komunikasi dan informasi: \n\n \n Karena gejala yang timbul hebat, pasien menjadi cemas dan khawatir akan adanya penyakit berat seperti stroke atau tumor otak. Oleh karena itu, pasien perlu diberikan penjelasan bahwa BPPV bukan sesuatu yang berbahaya dan prognosisnya baik serta hilang spontan setelah beberapa waktu, namun kadang-kadang dapat berlangsung lama dan dapat kambuh kembali. \n Keluarga turut mendukung dengan memotivasi pasien dalam mencari penyebab vertigo dan mengobatinya sesuai penyebab. \n Mendorong pasien untuk teratur melakukan latihan vestibular. \n \n \n Terapi BPPV kanal posterior: \n \n Manuver Epley \n Prosedur Semont \n Metode Brand Daroff \n \n \n \n\n \n\n Kewenangan Pelayanan Kesehatan Tingkat Peratama \n\n \n Fasilitas Pelayanan Kesehatan Primer \n\n \n BPPV dilayani di faskes primer, dirujuk jika :\n\n \n Tidak terdapat perbaikan pada vertigo vestibular setelah diterapi farmakologik dan non farmakologik. \n Vertigo vestibular tipe sentral \n \n \n \n \n PPK 2 (RS tipe B dan C) : \n Tatalaksana emergensi dan medis vertigo termasuk vertigo sentral sesuai dengan ketersediaan fasilitas \n PPK 3 (RS tipe A) : \n Talaksana emergensi dan medis komprehensif vertigo tipe sentral yang memerlukan CT/MRI \n \n\n Kesimpulan \n\n \n Vertigo adalah gejala bukan diagnosis \n Cegah gejala vertigo menjadi kronis karena menyebabkan penurunan ADL \n Penanganan vertigo secara tetap dan cepat à dengan cara menetapkan diagnosis secepatnya \n Identifikasi secepatnya adanya yellow flag ( psikis, gangguan tidur ) dan redflag ( vertigo sentral, gangguan cardiovascular atau cerebrovascular ) \n Memberikan KIE yang tepat kepada pasien dan keluarga pasien setelah mendapatkan diagnosis yang tepat \n \n\n Menerapkan sistem rujukan sesuai dengan kewenangan tingkat pelayanan kesehatan \n<\/p><\/div><\/div><\/div>"); $('#div_next_link').html(" <\/span>");
- 16 June 2022<\/li><\/ul><\/div>
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- 21 December 2022<\/li><\/ul><\/div>
- 06 July 2023<\/li><\/ul><\/div>