Deteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi GenetikaDeteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetika

Title     : Deteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetika

Author            : Yuyun Yueniwati

Publisher           : Universitas Brawijaya Press

Edition           : I, April 2014

Pages               : 272 pages

ISBN              : 978-602-203-617-3

Price    : Rp 121.500

Stroke sits on the top position ranks as one of the leading causes of death in the world, including in Indonesia. Not only causing death, stroke also be a cause of disability that are mostly attack people that still in their productive age. Stroke survivors in Indonesia reached 500,000 people. The average age of patients is 58.8 years old. Indonesian Neural Doctors Specialist Association(PERDOSSI) showed a trend of increasing number of young stroke patients that were in productive age in Indonesia for the last decade (page 3).

Based on that background, Dr. dr. Yuyun Yueniwati, Kes., Sp. Rad., Who is also a radiology specialist, took the stroke theme in this book entitled The Early Detection of Ischemia Stroke. Stroke itself is a clinical symptom that occurs suddenly and rapidly due to disruption of brain function locally or globally with abnormalities that persist up to 24 hours or more, or cause death without any apparent cause abnormalities in addition to the blood vessels (page 3). Meanwhile, according to the WHO definition of stroke are the symptoms of nervous system function deficits caused by cerebrovascular disease and not by others. Thus, stroke is attacking brain nerve that causes further impaired organ disfunction.

In order to give readers a complete understanding, the author describes briefly and dense on the classification of stroke, signs and symptoms of stroke, stroke risk factors, loss of post-stroke, stroke outcome, prognosis of stroke, a comprehensive discussion of ischemic stroke include classification, pathophysiology, etiology , impaired cognitive function and factors affecting post-ischemic stroke, to the role of inflammation in ischemic stroke. In addition, this book also discussed about the anatomy of the veins and carotid arteries, then a matter of atherosclerosis, osteopontin, polymerase chain reaction, the early detection of ischemic stroke with vascular ultrasound examination and examination of genetic variation.

This book which also is an adaptation from the author’s dissertation research also explains easy way to detect a stroke that needs to be known by many people. The author gives us the knowledge that there are four steps to detect stroke, they are FAST, detect facial movements first, arm movement, speech, and time-to-call. First, we must assess whether there are sides of the face which seemed abnormal, and if there is a weakness in the arm movement, then if there are deficiencies in the way and the quality of speech. If all three have been detected, it is necessary to take step four, that is the time-to-call to contact a doctor or medical personnel or hospital for further check (page 176).

Besides some of the graphics in this book that is colorless, page per page views is fairly easily understood by the reader. Almost every exposure to the concept equipped with diagrams, tables and graphics as explanatory. The author also includes a summary column in each chapter so that readers can find out the essence of each chapter discussion. This book is suitable to read for the medical world activists or readers who are studying medicine to be a proper reference in reviewing more about stroke and ischemic stroke.Judul Buku     : Deteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetika

Penulis            : Yuyun Yueniwati

Penerbit           : Universitas Brawijaya Press

Cetakan           : I, April 2014

Tebal               : 272 halaman

ISBN              : 978-602-203-617-3

Harga Buku    : Rp 121.500

Stroke menduduki jajaran posisi teratas sebagai salah satu penyakit penyebab kematian terbanyak di dunia, termasuk di Indonesia. Selain menyebabkan kematian, stroke juga menjadi penyebab kecacatan penderitanya yang kebanyakan masih di usia produktif. Penderita stroke di Indonesia mencapai 500.000 orang. Usia rata-rata penderita yaitu 58,8 tahun. Data Perhimpunan Dokter Spesialis Syaraf Indonesia (PERDOSSI) menunjukkan adanya kecenderungan  peningkatan jumlah penderita stroke usia muda yang produktif di Indonesia dalam dasawarsa terakhir (halaman 3).

Berdasarkan latar belakang itulah, Dr. dr. Yuyun Yueniwati, M.Kes., Sp. Rad., yang juga merupakan seorang dokter spesialis radiologi, mengangkat tema stroke dalam bukunya yang berjudul Deteksi Dini Stroke Iskemia ini. Stroke sendiri adalah gejala klinis yang terjadi secara mendadak dan cepat akibat gangguan fungsi otak lokal atau global dengan kelainan yang menetap hingga 24 jam atau lebih, atau menyebabkan kematian tanpa adanya penyebab kelainan yang  jelas selain pembuluh darah (halaman 3). Sedangkan, definisi stroke menurut WHO adalah gejala defisit fungsi susunan syaraf yang diakibatkan oleh penyakit pembuluh darah otak dan bukan oleh yang lain. Jadi, stroke menyerang syaraf otak sehingga lebih lanjut menyebabkan penderitanya mengalami gangguan fungsi organ tubuh.

Agar dapat memberi pembaca pemahaman yang lengkap, penulis memaparkan secara singkat dan padat tentang klasifikasi stroke, tanda dan gejala stroke, faktor-faktor resiko stroke, kerugian paska stroke, outcome stroke, prognosis stroke, bahasan komprehensif tentang stroke iskemia meliputi klasifikasinya, patofisiologinya, etiologinya, gangguan fungsi kognitif dan faktor yang mempengaruhi paska stroke iskemia, sampai peranan inflamasi pada stroke iskemia. Selain itu, dibahas juga soal anatomi pembuluh darah dan arteri karotis, lalu soal aterosklerosis, osteopontin, polymerase chain reaction, deteksi dini stroke iskemia dengan pemeriksaan ultrasonografi vaskular dan pemeriksaan variasi genetika.

Buku yang juga diangkat dari penelitian disertasi ini menjelaskan pula tentang cara mudah mendeteksi stroke yang perlu diketahui oleh banyak orang. Penulis memberi kita pengetahuan bahwa ada empat langkah mendeteksi stroke antara lain F-A-S-T yaitu dengan mendeteksi facial movement, arm movement, speech, dan time-to-call. Pertama, kita harus menilai dulu apakah ada sisi-sisi wajah yang tampak tertarik, lalu apakah ada kelemahan pada pergerakan lengan, selanjutnya apakah ada kekurangan dalam cara dan kualitas bicara. Jika ketiganya sudah terdeteksi, maka perlu dilakukan langkah keempat yaitu time-to-call dengan menghubungi dokter atau petugas medik atau rumah sakit untuk melakukan pengecekan lanjutan (halaman 176).