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Case Report Dr. Denny Amel

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(1)c Bagian Ilmu Kesehatan Jiwa Fakultas Kedokteran Umum Universitas Mulawarman. Laporan Kasus. GANGGUAN MENTAL DAN PERILAKU AKIBAT PENGGUNAAN STIMULANSIA (AMFETAMIN) c c c c c c c c c c c c cc. Amilia Wahyuni     c c

(2)   c. dr. Denny J R, Sp.KJ Diajukan Dalam Rangka Rotasi Kepaniteraan Klinik Muda Di Lab/SMF Ilmu Kesehatan Jiwa Periode 16 Mei ± 11 Juni 2011. Lab/SMF Ilmu Kesehatan Jiwa FAKULTAS KEDOKTERAN UNIVERSITAS MULAWARMAN RSKD ATMA HUSADA MAHAKAM SAMARINDA 2011.

(3) c c. BAB I PENDAHULUAN. !  cccccccccc ccccc!cc ccc! c"c#c ! c $c c c c c c  %c  c c  c c   c  c  c c  c c c &c c c   c 'c   (c %c c %cc ccc cc%cccc)cc#c! c')#!(c c  cc cc  c c*c +cc  c !  c c c  c c c  c  c  c c c  c c  c  c '!#$(c ccc c%+cc ccc cc c c c c c c c c c c c c c c c c c c. c c.

(4) c c. BAB II TINJAUAN PUSTAKA c ,!

(5) -!c c *.c c  c  c c %/c * c c ' c c (c c  c  c c c c c c c c c 0 c c c  c 1c c 0c c c c c c c !c c c c c c c c c cc  c%ccc c  cc c c2c cccc  ccc  cc cc ccc c c  c 2c c c  c c  c c c c c  c c  c c c c  c cccc

(6)  c c .c c c c  c  c c c ccccc cc c cc c cc cc %c cc c+c cc c-*cc c c+ccc cc c c c  c c c c c  c c' (c c c 1c  c c c c c  c c c c  c c  c ' (c c c  c

(7)  c

(8)  c c c  c  c /c c  c %c c  c  c  c c c c c %c c c c %c  c c 1 c c c c c  c c c  cc%cc  c c

(9)  c c  c  c c c

(10)  c c c

(11)  c c c

(12) c 3c c c

(13)  c 3c 4c

(14)  c c c c  c c c c c  c 3c c c c c c !1c c  c 3c c c c c c$0c'  (c. c c.

(15) c c. Preparat !  c cccccccc! c$c c   c '#5(c   c '#5(c 1 c  c   0  c '!(c c c '(c 0 cc  c c%cccc1c cc 1c$c c c  c c   c %c c  1c    c  c c  c !  c c c c c %cc  c cc1cc %ccc %c c %c c c %c %c  c %c c c cc/c ccc c c6ccc c cc  ccc ccccc -c c c  c   c c c c c c c c c ! c $c c c c )   c '

(16)

(17) !(c c c  c c c c c  c   c c c c  c c c cc ccc c 0cc c

(18)

(19) !c 1c c  c c  c   c c ccc c  c "c c

(20)

(21) !c cc c  c cc c c c cc 1 c/c c Metamfetamin 6  c 'c %c 77(c c c .c c c c c 1c  c  c c %c +c !c c c % 0% c c c c 8c  c 11c 11c'cc (ccc c   cccc c cc1c cc cc c Epidemiologi

(22) c c c c 9c. c.  c !$c c.  c2 cc:;c c cc  c cc c  c c  c  c :<c c

(23) c   c %c c  c  c  c c c   c c c c. c c.

(24) c c. c c c c c   c c c  c c c c  c 1c c  c c c c c c c c  c  c c c c c c  c   c 8c c c c c  c c c   c. c   c c  c c c c. c 6c #$60408=c. +c c. c. c   c  c  c c :c &c c c c  c/cc:c. Neurofarmakologi $ c   c  c 1 c 1c c c  c c %c c 1 c c  c /c c % c c  c c c !  c c %c  c 1c +c c  c c  c c c c c !  c c c  c c   c %c  c '77(c 8c %c c c   c c  c c c c   c c c c c c  cccc!  cccccc c c c   c c c c c  c /c 1c  c  cc  cccc !  c. c. 'c. (c c c.   c.   c.  c c c. c.  c.  c  c   c c  c  c !c  c c c c   c c %c c c  c +c c cccc c>cccc%cc/cc +c c %c  cc cc  c !  c c '1c 6#6!c 6#!!c 66#!c c # 6(c c  c c'  cc (ccc  c c  c c %c  /c  c c c. c c c c c   c c  c. 1 c c   c c c c ) c 6#6!c c c   c c  c c 6#6!c  c c c c c  cccc%/cc cc"cc. c c.

(25) c c. c c c 6#6!c c  c 1 c c c c  c+c. c cc c DIAGNOSIS #$60408c 1 cccc  c'c0   (c '8c  0(c  c c 1c c c c   c '8c  0 (c c c   c '8c  0 (c c c c   c c 0c '8c  09(c c c c c   c 'c 0 (c 2c c c c   c 'c 0  (c c 1 c  c c #$60408c c cc%c c  c'1c (c c Ketergantungan Amfetamin dan Penyalahgunaan Amfetamin 2c #$60408c c c c c  c  c c   c c .c c 2c   c  c c c  c c 1 c c   c c c  c /%c c c c c c c c %c $c c c   c  c c c   c c  c c c  c c c '(c c c c c c c   c '1c c c c c c. (c  c c  c c c. c c lntoksikasi Amfetamin $ c c c ' c  c   (c c   c ' c  c   (c c  c. c c. c c c c c c c c c c  c c c   c c c c   c c  c  c c c c c

(26) c #$6040 8c c c c   c c c c  c  c  c  c #$60408c 1c c  c c %c c  c"ccc%cccc cc. c c.

(27) c c. c c c   c c /c c c 3%c c   c c c c c 9c % c c   c c c cc9;c% c c Keadaan Putus Amfetamin $c c   c %c c c %c c  c c c c c  c c c c c  c c +c c (c c  c c c  c c  c c c c  c c c  c 3%c c .c c  1c  c c  c 9c c c c  c c c 3%c c .c c c c c  c c  c  c %c c c c  ccc0 cc cccc c c c c 2c c #$60408c c c c   c '8c  0 (c 1c /c c c c c c  cccc c Delirium pada lntoksikasi Amfetamin # c c c c c   c c 1c c  c cccc0 cc +c c  c  c c 2 c   c c .c c c c   c c c c c c c c  c %c  c c  c c  c 8c %c /c +c c c   c c %c c  cc %c c%cc c Gangguan Psikotik Terinduksi Amfetamin 2  c c c c  1c. c c   c c .c c c c  /c. c. c   c c c c .c c 8c c. c c   c c c. c. 3c c c   c  c c c .c cc% cc  cc c cc. c c.

(28) c c. c c   c c c  c c +c c c 1c   c c  +c  c c c c c c c c c c ' c c (c

(29) c  c c c %c 1c /c c %c c cc  cc.c  cc cc   c c c  c c c c c  c c .c, c1c c c cc  c c c cc ccc.cccc%c  c  c c c  c c c %c  c .c  c c c cc %ccc c8 c ccc c c   c c. c %c. c c.  c c c'?(c c Gangguan Mood Terinduksi Amfetamin !/cc cc c c%ccc c c .c @  c c c  c cc c 1 c cc c.c  c c c c c Gangguan Ansietas Terinduksi Amfetamin !  c cc1 c c%cc cc c c c c 0 c c c c  c c c !/c c c c   c %c  c %cccc c.c c Disfungsi Seksual Terinduksi Amfetamin !  c c c c c  c &c  c cc c c %c %c c c c c c c c c #c c c  c #$6040 8ccccc  c c c c. c c.

(30) c c. Gangguan Tidur Terinduksi Amfetamin c   c  c  c  c c  +cc  c c c c  c c c   c  c  c  cc  cc c Gangguan yang Tak-Tergolongkan >c c c c   c 'c 0  (c c  c c c c c c c c c c c c  c c c c c   c c 0 c'8c  09(c c GAMBARAN KLINIS

(31) ccc cc c  c  cc c c c c c c c c c c c c c #c 1c   c  c c c c %c c c c c c  c >c  c c c c c c c  c c c c ccc!ccc cc ccc c c c c Efek Simpang Fisikc

(32) c  c c cc cc c c 1 c c +c c c c #c c c  c c 1 c /c c c  c  c c c +c c c  c 3%c c c  %c c c c %c  c  c c  c c c   c c c c c c

(33) c   c +c  c c  c  11c +c c  cc c  cc cccc c c %c $% c c %c /c c   c c c 0cc 0c c c c  c c c  c !c  c c c 1 c /c. c c.

(34) c c. 1 c  c c 1c c   c c  c c  c c c  c 'c  (c c c  c c c Ac  c c c   c c c c ccccc c1cc cccc  cc Psikologisc !c  c c c c c c   c 1 c c c  c c  c  c c c 2 c   c %c  c c %c c c  c c c c c c ccc%c/ c ccc c PENANGANAN DAN REHABILITASI

(35) c c c   c 'c 0  (c  c c c c c  0 c  c c  c  c c c  c c c .c +c c  c c c c $c /c  c c c c  c  c '  c +c c c  (c c c c 1 c c c

(36) c c  c c   c '1c c c c   c c c c c   (c c c  c '1c c c (c c  c  c %c. c ! c  c.  c c  c c  c "c c c c .  c '4 (ccc ccc +c c #c c  c c  c c c c c  c c c  c c c c c , ccc cccc  c c c ccc 2c  c  c  c  c  c c c  c "  c 'A(c  c c c c c   c c c  c c  c c c c c cccc c c. c c.

(37) c c. BAB III LAPORAN KASUS PSIKIATRI.

(38)  cc cc$c c6c ::c c: cA8!cc

(39) Bc $2#c! c?c6 c$ c$ c! ccc cc cc cc cc c 1.c IDENTITAS PASIEN , c. c. c#cc. @ c. c. c:;c8c. >c c ! c. c. c c.

(40) cc. c2c.

(41) %cc c. c6/c. $c. c$c. c. c>c"/c. ! c c. c

(42)  c. c.

(43) c c cc c c c c c c$2#c. ! c?c6 c$ c 2.c STATUS PRAESENS a. c Status Internus 2c  c. c. c"c. 2c. c. c. cC c6c. 8c+c. c. c. 8cc c. c::*<c ?cc. )cc c. c;c5* c. )c c c c5* c $c. c. c. c8cc  c. $ c2+c. c8c cc. $ c c c. c8c cc. $ c3c. c8c cc. $ c@c. c8c cc. c. c c.

(44) c c. ! c. c8c cc. c b.c Status Neurologikus

(45) 1cc c. c8c cc. 8c c. c8cc. 8cc c8c c0c c82c 6c c. c. c. 3c. c, cc.

(46)  c. c, c.

(47)  c c. cc. #  c. c8c cc. 4c c. c8cc  c. c Î.c Status Psikiatrikus c ! c#c! c ! c # cc. c. c,c!c. @c. c. c. ccc. ! c. c. c. c%c"/c$ c.

(48) %c c. c. c8c. ?cc c cc c c Sebab utama datang ke RSKD AHM Samarinda : c. 6 c$$c. Riwayat perjalanan penyakit :

(49) c /c c c c c c c $2#c ! c ?c 6 c $ c c c  c 0c c '%c $$(c $ c c c c c c c c 11c c  c0cc6cc càc:c c c c $c c c c c c  c c  c c c c c c c c c c c. c c.

(50) c c. 1c c  c c  c c c c  c 0c c 2c c c c  c  %c c c c c c %c c c  c ccc $c  c c c c 1c c c c #c  c c c /c. c c.  cc%cc$6!c

(51) c c/cccc %c c  0 c c  c c

(52) c  c  c %c c >c c c  c c c c c BBc 5c c  c %c 0c c ' c  c  (c

(53) c %c   c 1c

(54) c c c  c c  c 0c c :c Dc c c c c c c c. c  c 1c c c  c c c. c , c àc c c c c c  c  c 0 ccc%c 1c

(55) c c/c càc c ccccc cc$$cc

(56) c c/cc  c0ccc cc 0 ccc c6c c cc c c c  c c c c

(57) c c c c c c ã  c

(58) c c c c  c c c%c  c cc$cc c c  c1c  c c %c 2c c  c c c c c c c c c c c c  c c c c c c c 6c c c c c c  c $c c c c c c /c c  c c

(59) c %c c c c c c  c 1c c :c Dc c c c '1c c c  c (c c c %c c c c c +c  c  c c c c

(60) c c /c c $6

(61) c c c 1ccc $%c  c$$c c c %c c  c ccc ccccc c ccc. c c.

(62) c c. c c c 'àc c (c

(63) c %c 0c c c 0c c 0c c c c c

(64) c %cc cc cccc c Riwayat penyakit dahulu Oc /c c'0(c%c'0(c cc'0(c Oc /c c'0(c Oc /c/c%cc$>c'0(c. Gambaran Kepribadian $ c c c  c  c c  c  c101cc %c 1c. Riwayat Pendidikan 0c

(65) cccc %cccc c 0c Ac $6

(66) c c c c c c c c c c cccc 0c c Riwayat sosial ekonomi "ccc cc  c c Riwayat penyakit keluarga 8ccccc  c c%/c c Riwayat religius

(67) cc%cc. Hubungan dengan keluarga dan lingkungan c 0c

(68) c  cc  cc c 0c

(69) c c c c c  c  c c ccccc. c c.

(70) c c. Genogramc

(71) c  cc0:cc ccc c c c c. Keterangan : c c. c ccc0cc cc%/c cc. c ccc

(72)  c cc%/c c c c

(73) c. STATUS PSIKIATRI 2c  cc. cc cc c. 2c. cc2c+c'E(cc+c'E(c. 2cc. ccC6c. c  c c c /c c c. c!c'E(c ! *!c. cc$*c!ccc.

(74) cc. ccC cc/ c'0(c. c. ccC c.

(75)  c. cc?c'E(ccc'0(c. !5c. cc'0(c. 2 c. cc, c.

(76)  c. c , c. c c c. c c.

(77) c c. A.c Diagnosis Formulasi diagnosis ±c $c /c  c :;c  c  c c /c c c %c "/c

(78) c c c c $2#c ! c ?c 6 c$ c ccc c6c ::c c: cA8!c ±c

(79) cccc  c0cc'%c $$(c ±c $c  c c. c. c 1c c c. c #c  c c c /c c c  c c %c c $6!c c  c c  c 0c c :c Dc c c c c c c c. c  c 1c c c  c c c. cc ±c àc c c c c c  c  c 0cc c %c 1c

(80) c c /c  c àc c c cccc cc$$c ±c

(81) c c /c c  c 0c c c c c 0 c c c  c 6c c c c c c c  c c c c 6c c c. c c  c "c. c. c/cc$6

(82) cc c 1ccc ±c $%c  c $$c c c %c c   c ccc ccccc c cc c c c c 'àc c (c

(83) c %c 0c c c 0c c 0c c c c c

(84) c %cc cc cccc ±c "c c c  c c  c

(85) c  c c cccccc ±c

(86) c.  c. c  c c 1  c.  c  c  c c  c  c  c c c  cc'E(c cc'1 (c  cc'E(ccc '0(c c c5c'0(c. c c.

(87) c c. B.c Diagnosis Multiaksial c F15 3c c c. !cc. c c. c.  c'!  (c cc 8ccc cccc. !cc. !cc cc 8ccc ccc !c4c c ccc  c c c c c GAF 90-81c %c %c  c c c 1 c c. !c4c. ccc ccc. c. cccccccccccccccc. c C.c Pengobatan

(88)  ccc ¢c. +c c. c c.

(89)  cc ¢c 6 +c c c %c c c c.  ccccc ¢c 6c c c c c c c. cc c ¢c 6 c  1c c c /c c c c. c ¢c 6 c %c  c c c c. cc c c ¢c 6c  c c c c  +c c. c ccc cc c D.c Prognosis Èc#cc c c 2 cccc cc cc c #cc c c. c c.

(90) c c. PEMBAHASAN A.c Diagnosis $c /c c :;c c /c c c c  c $$c %c c c c c

(91) c c /c c  c0ccccc 0 cc c  c 6c c c c c c c  c c cc$%c  c$$c c c %c c   c c c c c c c c c c c c c c c c 'àc c (c

(92) c %c 0c c c c 0c c 0 c c c c c

(93) c %c c c c  c c c c ?c c c c c c c c c c c c c

(94) c  c c  c c 1  c  c  c  c c  c  c  c c c  cc'E(c cc'1 (c  cc'E(ccc '0(c c c5c'0(c $$c  c  c %c   c  c c  c c  c c c c c c c %c >c c  c  c  c %cccc :c

(95) c   c c  c c %c  c c cccc ccc%cc :cc !c. c. c c %c c 1c  c.  +c c 1c c  c c +c c : 9c !c c c c c  c c c c c c ccc c  c%: 9c 8c c c c   c c c c 3c c c   c  c c c .c c c c % c c  c c  c c c c c   c c c. c c.

(96) c c.  c c +c c c 1c   c c  +c cccccc cc c c' cc(:c 2c  c  c c c c c 1 c c   c c c  c /%c c cccccc %: B.c Pengobatan dan prognosis

(97) c. c c   c c.   :c #.  c c %c c c c +:c 2c  c  c  c  c  c c c ! c  c   c  c c '/(c c 5c ' .1(c  c c  c 1c c c ' c (c c c  c c  c c c c c c c c c  c c :c

(98) c. c c  c c c. c.  c Fc  c c c c c  +c c c c %c  c c  c  c  c c cc# ccccccc  c  +cc c cc cc%cc c

(99) c c c   c  c c c  c c c  c c c .c c c  c c c c $c  c /c  c c c  c  c  c '  c +c c c  (c c c c 1 c c  c # c  c c  c 0c c c c +c  c c c ,!

(100) -!c c c c ,!

(101) -!c c 0c c c c  c c,!

(102) -!cc  c  c c c 8 c c %c  c c  c c. c c.

(103) c c.   c +c c  c c  c c c  : c

(104) c c c c  c c 2 c c c c c c  c c c  c c  c c c #c %c  c cc c c c . cc c. c c.

(105) c c. DAFTAR PUSTAKA c :c „     

(106)                  ã        ã.    . c. c #  c 2c c c : c P  P          c'

(107)

(108) #3>(c!ccc>c c 2 c 2c  c P                      PZc C c c c c : cc:<0 c>c 9c "c ,c

(109) +c 2 c  c ;c

(110) c >0>c ,c!+ccc **   1 *c#cc c>c. ::c c c c c c c c c c c c c c c c c c c c c.  c c.

(111) c c. LAMPIRAN. ccc. cc.  c c.

(112)

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