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\red250\green250\blue250.\red150\green0\blue250.\red25 0\green0\blue200.\red250\green 200\blue150.\red150\green250\blue50.\red150\green50\blue250.\red150\green50\blue200.\red150\green150\ blue50.\red250\green100\blue200.\red150\green50\blue100.\red250\green250\blue150.\red200\green250\blue50.\red200\green200\blue1 00.\red250\green100\ blue250.\red150\green250\blue250 .\red250\green50\blue200.\red200\green200\blue150.\red200\green50\blue100.\red200\green250\blue250.\red250\green50\blue0.\red250\green0\ blue0.\red200\green150\blue0.\red150\green250\blue200.\red200\green 0\blue150.\red250\green150\blue100.\red200\green100\blue100.\red250\green200\blue100.\red150\green0\blue200.\red250\green100\blue0.\red150\green100\blue0.\red250\green0\blue250.\red150\green150\blue0.\red200\green250\blue100.\red200\green100\blue0.\red200\green100\blue200.\red200\green50\blue0.\red200\green150\blue50. Gejala-gejala tersebut biasanya adalah gejala yang mengikuti \plain\par .\red200\green50\blue250.\red250\green250\b lue0.\red200\gr een250\blue150.\red150\green100\blue250.\red150\green0\blue150.\ red250\green250\blue200.\red250\green200\blue200.\red150\green200\blue50.\red 150\green100\blue50.\red250\green150\blue200.\red2 50\green200\blue0.\red250\green150\blue250.\red200\green50\blue150.\red200\g reen150\blue100.\re d250\green50\blue250.\red200\green0\blue50.\r ed200\green50\blue50.\red250\green50\bl ue50.\red250\green0\blue50.\red150\green0\blue1 00. poli \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw2 \f20 \fs24 radikulopati d an\i acute ascending paralysis\i0 .\red150\green250\bl ue100.\red200\green0\blue100.\r ed200\green250\blue0. Ditandai dengan kelemahan motorik \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw0 \f20 \fs24 progresif dan arefleksia.\red250\green50\blue100.\red250\green0\blue150.\red200\green200\blue50.\red200\green1 50\blue250.\red150\green200\blue200.\red150\green0\blue0.\red250\gree n100\blue100.\red200\green0\blue0.\red15 0\green200\blue100.\red150\green150\blue150.\red150\green250\blue0.\red150\gr een100\blue200.\red150\green100\blue100.\red250\green250\blue50.\red250\green100\blue50.\red150\green150\blue20 0.\red200\green150\blue200.\red150\ green50\blue0. antara lain \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri54 \expndtw2 \f20 \fs24 polyneuritis a kut pasca-infeksi.\red200\green150\blue150.\red150\green50\blue50.\red150\green200\blue0.\red250\green100\blue150.\red200\green0\blue250.\red150\green150\blue100.\red200\green100\blu e50.\red250\green200\blue250.\red250\green50\blue150.\red250\green0\blue100.\red250\green200\blue50. polineuritis akut toksik. Biasanya juga disertai dengan abnormalitas fungsi sensorik \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri50 \expndtw0 \f20 \fs24 otonom dan bat ang otak.\red150\green100\blue150.\red150\green150\blue250.\red250\green250\blue100.\red200\green200\blue200.\red200\gre en50\blue200.green250\blue250. polyneuritis febril.\red150\green50\blu e150.\red200\green200\blue0.\red150\gre en200\blue250.\red200\green200\blue250.} \margt1480\margb140\margr1740\margl1800 \plain\pard\sl-391 \li1713 \ri1594 \expndtw-6 \b \f20 \fs37 Sindroma Guillain-Ba rre (SGB) \par \plain\sl-306\fs31\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li0 \ri3453 \fi 3384 \expndtw-9 \b \f20 \fs24 PENDAHULUAN \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri6387 \expndtw-6 \b \f20 \fs24 Latar Be lakang \par \plain\sl-307\fs31\par\pard\pard\sl-240 \li0 \ri53 \fi719 \expndtw2 \f20 \fs24 S indroma Guillain-Barre (SGB) mempunyai banyak sinonim.\ red200\green100\blue250. \red250\green150\blue150.\red150\green250\blue150.\red150\green200\blue150.\red250\green150\blue50.\red150\green0\blue50.\red250\green150\blue0.\red200\green100\blue150.\red200\green0\blue200.\red200\green250\blue200.

dan Strohl \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri54 \expndtw0 \f20 \fs24 memperluas des kripsi klinis SGB dan pertama sekali mengemukakan penilaian melalui \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw0 \f20 \fs24 cairan serebro spinal (CSF). \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \expndtw2 \f20 \fs24 akan mengarah kepada poliradiopati demielinisasi yang membedakannya dengan \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri4717 \expndtw-3 \f20 \fs24 poliomyelit is dan neuropati lainnya. Barre. Penilaian CSF digabungkan dengan gejala-gejala klinis tertentu.0 per \par \plain\sl-279\fs28\par\pard\pard\sl-240 \li720 \ri57 \expndtw0 \f20 \fs24 100. \plain\par \sl-316\fs32\par\pard\pard\sl-240 \li0 \ri6612 \expndtw-7 \b \f20 \fs24 Epidemio logi \par \plain\sl-82\fs8\par\sl-240\fs24\par\pard\pard\sl-257 \li360 \ri55 \expndtw0 \f3 0 \fs24 3\f20 Di Amerika Serikat \plain\tx2870 \tab \expndtw2 \f20 \fs24 : insiden SGB per tahun berkisar antara 0. Pada tahun 1916. tidak diketahui jumlah kasus terbanyak menurut musim yang ada \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li720 \ri5544 \expndtw-5 \f20 \fs24 di Amerik a Serikat \par \plain\sl-292\fs29\par\sl-240\fs24\par\par\par\par\pard\pard\sl-240 \li8520 \ri5 4 \expndtw-2 \f20 \fs24 1 \par \sect\sectd\sbkpage\margtsxn1400\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 . disosiasi albinositologik (peningkatan protein CSF terhadap \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri51 \expndtw-2 \f20 \fs24 hitung sel CS F normal ). \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri49 \fi720 \expndtw0 \f20 \fs24 Penjela san mengenai suatu penyakit ini pertama kali dipublikasikan oleh Landry \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri50 \expndtw0 \f20 \fs24 pada tahun 185 9.4 ± 2. Guillain.\sl-312\fs31\par\pard\pard\sl-240 \li0 \ri3153 \expndtw-3 \f20 \fs24 demam dan a tau penyakit yang disebabkan oleh virus.00 0 orang. Oster menguraikannya lebih detil dengan apa yang ia sebut sebagai \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri49 \expndtw2 \f20 \fs24 febril polyneu ritis pada tahun 1892.

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000 orang per \par \plain\sl-279\fs28\par\pard\pard\sl-240 \li719 \ri49 \expndtw0 \f20 \fs24 tahun di seluruh dunia untuk semua iklim dan sesama suku bangsa. \plain\par \sl-279\fs28\par\pard\pard\sl-240 \li720 \ri53 \expndtw1 \f20 \fs24 Dapat juga t erjadi pada usia tua. kecuali di \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li719 \ri49 \expndtw0 \f20 \fs24 China yang d ihubungkan dengan musim dan infeksi\i Campylobacter\i0 memiliki \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li720 \ri4631 \expndtw-4 \f20 \fs24 predileks i pada musim panas. terutama puncaknya pada usia dewas a muda. \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li360 \ri2701 \expndtw0 \f30 \f s24 3\f20 Perbandingan antara pria dan wanita adalah 1. dapat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \expndtw1 \f20 \fs24 berlangsung ak ut atau subakut. mungkin terjadi secara spontan atau sesudah suatu \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri49 \expndtw0 \f20 \fs24 infeksi. . adalah polineuropati yang menyeluruh .0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1420\margb140\margr1740\margl1800 \plain\pard\sl-319 \li360 \ri51 \expndtw1 \f30 \fs24 3\f20 Internasional \plain\tx2870 \tab \expndtw0 \f20 \fs24 : angka kejadian sama yakni 1 ± 3 per 100. Definisi \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li0 \ri58 \fi720 \expndtw2 \f20 \fs24 Sindrom a Guillain Barre. \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li0 \ri60 \fi360 \expndtw0 \f30 \fs24 3\f20 Dapat mengenai pada semua usia. Mikro organisme penyebab belum pernah ditemukan pada penderita penyakit ini \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri2401 \expndtw-3 \f20 \fs24 dan pada pe meriksaan patologis tidak ditemukan tanda radang.25 : 1 \plain\par \sl-313\fs31\par\pard\pard\sl-257 \li360 \ri54 \expndtw0 \f30 \fs24 3\f20 Berka itan dengan faktor resiko genetik yaitu Fc\f40 K\f20 RIIa-H131 dan alel homozigo t \plain\par \sl-293\fs29\par\pard\pard\sl-240 \li0 \ri6328 \fi720 \expndtw-9 \f20 \fs24 (vs R131) \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li0 \ri6931 \expndtw7 \b \f20 \fs24 I. yang diyakini disebabkan oleh penurunan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li720 \ri4803 \expndtw-4 \f20 \fs24 mekanisme imunosupresor.

sindrom ini diduga disebabkan oleh infeksi virus. Tetapi akhir-akhir ini \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri58 \expndtw0 \f20 \fs24 terungkap bahw a ternyata virus bukan sebagai penyebab. Teori yang dianut sekarang \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \expndtw0 \f20 \fs24 adalah suatu k elainan imunobiologik.\plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li0 \ri6836 \expndtw7 \b \f20 \fs24 II. Etiologi \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li0 \ri54 \fi719 \expndtw0 \f20 \fs24 Dahulu. \par \plain\sl-100\fs10\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-240 \li8 520 \ri54 \expndtw-2 \f20 \fs24 2 \par \sect\sectd\sbkpage\margtsxn1340\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a 838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6 c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003 0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407 05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015 6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859 5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6 a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6c7c8c9cad2d3d4d5d6d7d8d9dae2e3e4e5e6e7e8e9ea f2f3f4f5f6f7f8f9faffda000c03010002110311003f00fefe28a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a . baik secara\i primary immune responde\i0 maupun \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri5538 \expndtw-4 \i \f20 \fs24 immune m ediated process\i0 .

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kelemahan otot dan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri59 \expndtw0 \f20 \fs24 kelemahan fun gsi sensoris. kehamilan. A ntibodi yang dihasilkan pada saat infeksi menyerang selubung myelin \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri53 \expndtw0 \f20 \fs24 yang melapisi sel-sel neuron dan kemudian menyebabkan paralysis. seperti infeksi \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw0 \f20 \fs24 saluran perna pasan atau infeksi saluran gastrointestinal yang muncul 1 atau 3 minggu \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw0 \f20 \fs24 sebelumnya. \plain\par . Sindrom ini dapat pula didahului oleh vaksinasi.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1780 \plain\pard\sl-267 \li20 \ri49 \fi720 \expndtw0 \f20 \fs24 Sindrom terlihat dice tuskan oleh infeksi virus atau bakteri akut.

Patofisiologi \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li19 \ri58 \fi720 \expndtw0 \f20 \fs24 Terjad i reaksi inflamasi (infiltrat) dan edema pada saraf yang terganggu. namun yang berada di intumesensia servikalis dan lumbosakralis \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li19 \ri50 \expndtw-12 \f20 \fs24 palin g \plain\tx888 \tab \expndtw-15 \f20 \fs24 berat \plain\tx1642 \tab \expndtw-9 \f20 \fs24 mengalami \plain\tx2967 \tab \expndtw-8 \f20 \fs24 kerusakan \plain\tx4210 \tab \expndtw-11 \f20 \fs24 keadaan \plain\tx5262 \tab \expndtw-8 \f20 \fs24 patologik \plain\tx6443 \tab \expndtw-23 \f20 \fs24 itu \plain\tx6961 \tab \expndtw-10 \f20 \fs24 dikenal \plain\tx7915 \tab \expndtw-9 \f20 \fs24 sebagai \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \expndtw0 \f20 \fs24 polirad ikulopatia atau polyneuritis post infeksiosa. \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li19 \ri6335 \expndtw -5 \b \f20 \fs24 III. \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li19 \ri5866 \expndtw -5 \b \f20 \fs24 IV. tetapi progresifitasnya \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri49 \expndtw2 \f20 \fs24 akan berhenti setelah berjalan selama 4 minggu. Sel-sel infiltrate terutama terdiri dari sel limfosit \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \expndtw1 \f20 \fs24 berukuran kec il. Atau lebih dikenal sebagai Sindrom a \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri6596 \expndtw-6 \f20 \fs24 Gullain Ba rre. dan tampak pula mikrofag serta sel polimorfonuklear pada \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri49 \expndtw-2 \f20 \fs24 permulaan pe nyakit. Infiltrat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri62 \expndtw1 \f20 \fs24 terdiri dari atas sel mononuclear. lebih kurang 50% akan terjadi \par . Setelah itu muncul sel plasma dan sel mast. sedang.\sl-312\fs31\par\pard\pard\sl-240 \li20 \ri2172 \expndtw-3 \f20 \fs24 atau setel ah pembedahan pada bulan sebelum terjadinya sindrom. Seranut saraf mengalami \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri4851 \expndtw-3 \f20 \fs24 degenerasi segmental dan aksonal. Kerusakan itu merupakam perwujudan reaksi imunopatologik walaupun \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri56 \expndtw-1 \f20 \fs24 segenap radi ks terkena. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri53 \fi720 \expndtw0 \f20 \fs24 Kerusa kan pada radiks ventralis (dan dorsalis) yang reversible dan menyeluruh \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri54 \expndtw0 \f20 \fs24 dapat terjadi . Gambaran Klinis \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li19 \ri57 \fi719 \expndtw-1 \f20 \fs24 Tanda dan gejala kelemahan motorik terjadi dengan cepat.

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jarang yang \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw-1 \f20 \fs24 asimetris. dalam waktu kurang \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri2496 \expndtw-2 \f20 \fs24 dari 72 jam . Ke lumpuhan dapat ringan dan terbatas pada kedua tungkai saja dan dapat pula \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw0 \f20 \fs24 terjadi paraly sis total keempat anggota gerak terjadii secara cepat. kelemahan ini terutama pada otot-otot proksimal. 80% menjelang 3 minggu.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1800 \plain\pard\sl-267 \li0 \ri58 \expndtw-1 \f20 \fs24 kelemahan menjelang 2 minggu . geli pada ekstremitas. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri60 \fi720 \expndtw2 \f20 \fs24 Pasien dengan SGB dijumpai adanya kelemahan disertai dengan diestesia. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \expndtw1 \f20 \fs24 Refleks tendon melemah. dan lebih dari 90% selama 4 \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri7119 \expndtw-11 \f20 \fs24 minggu. Parestesia terjadi menjalar secara \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri60 \expndtw1 \f20 \fs24 proksimal teta pi jarang meluas melewati pergelangan tangan dan pergelangan kaki. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri56 \expndtw2 \f20 \fs24 kaki lebih ser ing terkena dibandingkan lengan. \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri58 \fi720 \expndtw0 \f20 \fs24 Kelumpu han terjadi secara simetris lebih dari satu anggota gerak. \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri60 \expndtw0 \f20 \fs24 perasaan kebas . bahkan bisa menghilang dalam beberapa hari perjalanan \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li0 \ri7037 \expndtw-10 \f20 \fs24 penyakit.

hipotensi \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \expndtw0 \f20 \fs24 postural. atau gejala gangguan vasomotor dapat melengkapi gejala dan tanda \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri6233 \expndtw-5 \f20 \fs24 klinik sind rom ini. tetapi \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \expndtw-2 \f20 \fs24 kadang-kadang gangguan tampak segmental. aritmia jantung. \par \plain\sl-302\fs30\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li8520 \ri54 \e xpndtw-2 \f20 \fs24 4 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a 838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6 c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003 0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407 .khususnya yang mengurus \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri55 \expndtw0 \f20 \fs24 lidah. Kelemahan otot wajah terjadi pada 50% kasus dan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri56 \expndtw0 \f20 \fs24 sering bilater al. otot-otot proksimal dan distal terganggu dan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri1429 \expndtw-3 \f20 \fs24 reflek tend on menghilang. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri53 \fi720 \expndtw-1 \f20 \fs24 Nervi kraniales dapat terkena. Terlibatnya nervi kraniles \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri3758 \expndtw-3 \f20 \fs24 dapat merup akan awal sindrom Guillain-Barre. Saraf kranialis lainnya dapat pula terkena. Keadaan ini disebut sebagai\i ascending paralysis. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri49 \fi720 \expndtw-2 \f20 \fs24 Fungsi saraf autonom dapat pula terganggu. Nyeri bahu dan punggung biasanya ditemukan. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri57 \fi720 \expndtw0 \f20 \fs24 Gejala motorik biasanya timbul lebih awal daripada gangguan sensorik Biasanya \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri49 \expndtw0 \f20 \fs24 terdapat gangg uan sensasi perifer dengan distribusi sarung tangan dan kaus kaki.. hipe rtensi. otot-ot ot menelan. Takikardia. dan otot-otot motorik ekstra ocular.

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\plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri39 \fi359 \expndtw0 \f20 \fs24 3. tanpa pleositosis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri4012 \expndtw-3 \f20 \fs24 ( jumlah sel-sel abnormal dari CSF). \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri40 \expndtw0 \f20 \fs24 termasuk ana lisa gas darah serta kapasitas vital paru hungga kelemahan motorik \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri949 \expndtw-2 \f20 \fs24 mencapai t itik terendah (menetap). Diagnosa \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li19 \ri35 \fi360 \expndtw0 \f20 \fs24 1. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri1960 \expndtw-2 \f20 \fs24 Secara kli nis banyak penderita yang bisa sembuh secara fungsional. Ele ktrodiagnostik (EMG) memberikan tanda-tanda demielinisasi yabg terlihat . Namun demikian. Pada \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri40 \expndtw1 \f20 \fs24 saat awal. Hal ini merupakan hal yang penting. Pun ksi lumbal biasanya menunjukkan peningkatan protein dalam cairan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri39 \expndtw0 \f20 \fs24 serebrospina l tanpa disertai peningkatan jumlah leukosit yang bermakna. \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li19 \ri6693 \expndtw -7 \b \f20 \fs24 V.{\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1760\margl1780 \plain\pard\sl-267 \li20 \ri39 \fi720 \expndtw3 \f20 \fs24 Proses penyembuhan bi asanya dimulai setelah 2-4 minggu terhentinya \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri42 \expndtw-1 \f20 \fs24 progesifitas klinik. dan kelemahan otot wajah bilatelar \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li739 \ri4496 \expndtw-4 \f20 \fs24 (merupaka n petunjuk penting). Dia gnosa ditegakkan berdasarkan gambaran klinis yang terdiri dari kelemahan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri35 \expndtw0 \f20 \fs24 motorik (ter utama bagian proksimal) yang meluas ke atas. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri39 \fi359 \expndtw1 \f20 \fs24 4. gangguan \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li739 \ri41 \expndtw3 \f20 \fs24 sensorik bag ian distal yang ringan. p rotein dalam cairan serebrospinal dapat normal tetapi meningkat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri37 \expndtw-1 \f20 \fs24 dalam beber apa hari. Dijumpai peningkatan protein > 0. dokter harus mengenal penderita polyneuritis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri42 \expndtw0 \f20 \fs24 inflamatorik akut dan melakukan pemantauan fungsi pernafasan dengan teliti. arefleksia.55 g/dL. Oleh karena itu. proses penyembuhan bisa tertunda selama 4 bulan. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri36 \fi359 \expndtw3 \f20 \fs24 2. Pen gobatan beratnya kelemahan motorik pada SGB tidak dapat dipastikan pada \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri37 \expndtw0 \f20 \fs24 awal penyaki t.

dan gelombang F (\i F-wave) \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri39 \expndtw-2 \f20 \fs24 yang hilang atau memanjang. penurunan kecepatan hantaran saraf. Kelainan hantar saraf paling dini tampak setelah 3 ± \par \plain\sl-302\fs30\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li8540 \ri36 \e xpndtw-2 \f20 \fs24 5 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a 838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6 c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003 0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407 05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015 6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859 5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6 a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6c7c8c9cad2d3d4d5d6d7d8d9dae2e3e4e5e6e7e8e9ea f2f3f4f5f6f7f8f9faffda000c03010002110311003f00fefe28a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a .\plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri40 \expndtw1 \f20 \fs24 dari masa la ten yang memanjang. blok \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li739 \ri41 \expndtw-1 \f20 \fs24 hantar sara f (\i conduction blok)\i0 atau disperse temporal.

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Diagnosa Banding \plain\par .0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1800 \plain\pard\sl-267 \li720 \ri49 \expndtw-1 \f20 \fs24 10 hari dan terdiri dari\i F-wave\i0 yang melambat karena terkenanya radiks . \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li0 \ri5791 \expndtw5 \b \f20 \fs24 VI. didikuti \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li720 \ri58 \expndtw0 \f20 \fs24 kemudian ole h adanya tempat-tempat yang cenderung terkena kompresi yang \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li720 \ri58 \expndtw1 \f20 \fs24 menyeb abkan terjadinya suatu blok hantar saraf (\i conduction blok) \plain\tx7785 \tab \expndtw-1 \f20 \fs24 dan lalu \par \plain\sl-311\fs31\par\pard\pard\sl-240 \li719 \ri55 \expndtw0 \f20 \fs24 mengen ai badan sarafnya sendiri yang terlihat dari penurunan kecepatan hantar \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li719 \ri2643 \expndtw-3 \f20 \fs24 saraf yan g menunjukkan adanya suatu demielinisasi.

Kauda Equina \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri4186 \expndtw0 \f30 \fs24 3\f20 Si ndrom Konus Medullaris \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri1021 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan peradangan kronis demielinisasi poliradikulopati \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri1881 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan nyeri polineuropati sensorimotor distal \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri3158 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan mononeuropati multiple \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri2945 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan komplikasi neuromuscular \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri3022 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan poliradikulopati progresif \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri4417 \expndtw0 \f30 \fs24 3\f20 HI V-1 dengan mielopati \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri5176 \expndtw0 \f30 \fs24 3\f20 Pe nyakit Lynne \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri5006 \expndtw0 \f30 \fs24 3\f20 My astenia Gravis \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri5090 \expndtw0 \f30 \fs24 3\f20 Ne uropati toksik \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1079 \ri4274 \expndtw0 \f30 \fs24 3\f20 Ke racunan organophospat \par \plain\sl-245\fs25\par\sl-240\fs24\par\par\par\par\par\par\par\par\par\par\pard\ pard\sl-240 \li8520 \ri54 \expndtw-2 \f20 \fs24 6 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 .\sl-82\fs8\par\sl-240\fs24\par\pard\pard\sl-257 \li1080 \ri1375 \expndtw0 \f30 \ fs24 3\f20 Peradangan akut/kronis demielinisasi poliradikuloneuropati \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1080 \ri4455 \expndtw0 \f30 \fs24 3\f20 Si ndrom.

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atau kadang MRI hanya sebagai \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li720 \ri5352 \expndtw-5 \f20 \fs24 pendukung diagnosis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri50 \fi360 \expndtw3 \f20 \fs24 2. merupakan temuan Guillain Barre. Diag nosa didasarkan atas adanya gejala kelemahan\i ascenden\i0 dengan arefleksi. diperlukan observasi di ICU \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1080 \ri4266 \expndtw0 \f30 \fs24 3\f20 33 % memerlukan intubasi \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1080 \ri5043 \expndtw0 \f30 \fs24 3\f20 In dikasi intubasi: \par \plain\sl-279\fs28\par\pard\pard\sl-240 \li1982 \ri256 \expndtw-1 \f20 \fs24 \plain\tx2334 \tab \expndtw-3 \f20 \fs24 Kapasitas vital < 12-15 ml/Kg. elektrodiagnosis. \plain\par \sl-279\fs28\par\pard\pard\sl-240 \li1080 \ri272 \fi359 \expndtw-3 \f20 \fs24 da n kadang proteinnya bisa jadi tidak bertambah tinggi dalam 1 minggu. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li0 \ri3103 \fi360 \expndtw0 \f20 \fs24 3. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li719 \ri54 \expndtw0 \f20 \fs24 Pemeriksaan punksi lumbal. Kr iteria terjadinya kegagalan nafas pada SGB : \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li1080 \ri2183 \expndtw0 \f30 \ fs24 3\f20 Kapasitas vital < 1L . tapi kadang \plain\par \sl-279\fs28\par\pard\pard\sl-240 \li360 \ri2695 \fi1079 \expndtw-3 \f20 \fs24 d itemukan sedikit meningkat (10-50 per cc). \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li0 \ri60 \fi1079 \expndtw0 \f3 0 \fs24 3\f20 Nilai NCS bisa saja normal dalam 2 minggu ke atas sejak adanya ge jala. Khas pada pemeriksaan punksi lumbal atas dugaan demielinisasi ( yakni \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li720 \ri57 \expndtw2 \f20 \fs24 peningkatan protein) tanpa disertai adanya tanda infeksi aktif (kurangnya \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li720 \ri2643 \expndtw-3 \f20 \fs24 pleositos is LCS). khususny a dengan derajat cepat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li1982 \ri2528 \expndtw-1 \f20 \fs24 - . Pemeriksaan \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li0 \ri60 \fi360 \expndtw0 \f20 \fs24 1. \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li0 \ri58 \fi1080 \expndtw0 \f3 0 \fs24 3\f20 Sebagian besar pasien memiliki leukosit di bawah 10 per cc.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1800 \plain\pard\sl-272 \li0 \ri6202 \expndtw-6 \b \f20 \fs24 VII.

PaO2 80mmHg \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li1982 \ri4240 \expndtw-1 \f20 \plain\tx2334 \tab \expndtw-5 \f20 \fs24 Kesulitan sekresi \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li1982 \ri3968 \expndtw-1 \f20 \plain\tx2334 \tab \expndtw-4 \f20 \fs24 Waktu onset .\plain\tx2334 \tab \expndtw-4 \f20 \fs24 Inspirasi paksa negative \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li1982 \ri3250 \expndtw-1 \f20 \plain\tx2334 \tab \expndtw-5 \f20 \fs24 Hipoxemia . 7 hari . 50% < 3 minggu \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li1080 \ri2594 \expndtw0 \f30 \fs24 3\f20 Ka dang-kadang berhubungan dengan aspirasi \par \plain\sl-102\fs10\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-240 \li8 520 \ri54 \expndtw-2 \f20 \fs24 7 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a 838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6 c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003 0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407 05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015 6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859 5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6 a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6c7c8c9cad2d3d4d5d6d7d8d9dae2e3e4e5e6e7e8e9ea f2f3f4f5f6f7f8f9faffda000c03010002110311003f00fefe28a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a . 25 cmH2O \fs24 \fs24 \fs24 - \par \plain\sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li1080 \ri3561 \expndtw0 \f30 \fs24 3\f20 Waktu bernafas .

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yaitu \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 s. B . Terapi \par \plain\sl-307\fs31\par\pard\pard\sl-240 \li20 Pengobatan SGB terdiri dari 2 komponen.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1780 \plain\pard\sl-272 \li20 \ri6694 \expndtw-7 \b \f20 \fs24 VIII. Pengobatan secara suportif tetap merupakan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri49 lewati fase akut pada penyakit. kebanyakannya \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \ri53 \fi720 \expndtw0 \f20 \fs24 pengobatan secara suportif dan \expndtw-1 \f20 \fs24 terapi khusu terapi yang utama. jika pasien \expndtw2 \f20 \fs24 sebelumnya me akan mengalami \expndtw0 \f20 \fs24 kesembuhan.

psudoobstruktif gastrointestinal dan retensi urin. disritmia. disfungsi kranialis. dan ketidakstabilan system \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw1 \f20 \fs24 autonom. Perkiraan tambahan untuk ventilasi mekanik selanjutnya adalah : \plain\par \sl-87\fs9\par\sl-240\fs24\par\pard\pard\sl-257 \li380 \ri2032 \expndtw0 \f30 \f s24 3\f20 Waktu dari onset SGB sampai masuk RS kurang dari 7 hari \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li380 \ri983 \expndtw0 \f30 \fs24 3\f20 Keti daksanggupan untuk mengangkat siku atau kepala dari tampat tidur \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li380 \ri5272 \expndtw0 \f30 \fs24 3\f20 Tid ak sanggup berdiri \plain\par \sl-294\fs29\par\pard\pard\sl-257 \li380 \ri4711 \expndtw0 \f30 \fs24 3\f20 Pen inggian kadar enzim hati \plain\par \sl-279\fs28\par\pard\pard\sl-240 \li20 \ri58 \fi720 \expndtw-1 \f20 \fs24 Nyeri dan stress psikologi juga harus diobati. Penilaian \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw1 \f20 \fs24 ulang frekuen si pernafasan dengan tes fungsi paru untuk progresi yang cepat sangat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri1181 \expndtw-2 \f20 \fs24 diperlukan . Disf ungsi system saraf autonom dapat bermanfestasi . \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \fi719 \expndtw0 \f20 \fs24 Pada d epresi otot pernafasan harus dipertimbangkan persiapan intubasi. Profilaksis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \expndtw-1 \f20 \fs24 untuk trombo sis vena dalam harus tersedia karena pasien seringkali tidak dapat bergerak \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri5633 \expndtw-5 \f20 \fs24 selama beb erapa minggu. Karbamazepin (tegretol) dan Gabapentin (nerontin) telah digunakan \par \plain\sl-302\fs30\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li8540 \ri54 \e xpndtw-2 \f20 \fs24 8 . neuropati dapat memburuk dengan cepat dan diperlukan \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw1 \f20 \fs24 intubasi endo trakeal dan ventilasi mekanik dalam 24 jam selama onset gejala. tekanan darah yang \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri56 \expndtw0 \f20 \fs24 berubah-ubah. Oleh \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri49 \expndtw0 \f20 \fs24 karena itu.agaimanapun. s emua pasien SGB harus diterima di Rumah Sakit untuk diobservasi tertutup \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri49 \expndtw-2 \f20 \fs24 untuk kedaru ratan system respirasi pasien. latihan pergerakan secara pasif dan sering merubah posisi dapat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw0 \f20 \fs24 meringankan n yeri. Pasien \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw0 \f20 \fs24 tidak sanggup untuk menunjukkan fungsi minimal paru memerlukan intubasi. Terapi psikologis termasuk memijat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw2 \f20 \fs24 dengan lembut .

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Yang diperlukan ada lah \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw0 \f20 \fs24 kewaspa daan terhadap kemungkinan memburuknya situasi sebagai akibat perjalanan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri2159 \expndtw-3 \f20 \fs24 klinik yan g memberat sehingga mengancam otot-otot pernafasan.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1760\margl1780 \plain\pard\sl-267 \li20 \ri38 \expndtw0 \f20 \fs24 sebagai tambahan untuk mengh ilangkan nyeri pada SGB. Pada pasien dengan paralysis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri39 \expndtw0 \f20 \fs24 memiliki jiwa yang was-was dan takut. Menenangkan pasien dan diskusi tentang fase \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri1783 \expndtw-2 \f20 \fs24 penyakit d an perbaikan dapat membantu mengurangi stress psikologi. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri33 \fi720 \expndtw0 \f20 \fs24 Pasien yang tidak mampu bergerak atau dengan berbagai derajat disfungsi otot\par \plain\sl-311\fs31\par\pard\pard\sl-240 \li20 \ri40 \expndtw-16 \f20 \fs24 otot \plain\tx658 \tab \expndtw-8 \f20 \fs24 respirasi \plain\tx1733 \tab \expndtw-15 \f20 \fs24 harus \plain\tx2516 \tab \expndtw-7 \f20 \fs24 mendapatkan \plain\tx4057 \tab \expndtw-11 \f20 \fs24 terapi \plain\tx4868 \tab \expndtw-13 \f20 \fs24 aktif \plain\tx5569 \tab \expndtw-12 \f20 \fs24 dengan \plain\tx6524 \tab \expndtw-6 \f20 \fs24 plasmapharesis \plain\tx8231 \tab \expndtw-16 \f20 \fs24 atau . \par \plain\sl-311\fs31\par\pard\pard\sl-240 \li740 \ri35 \expndtw1 \f20 \fs24 Belum ada\i drug of choice \plain\tx3781 \tab \expndtw1 \f20 \fs24 yan tepat untuk SGB.

\plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \fi720 \expndtw-1 \f20 \fs24 IVIg merupakan pengobatan lini pertama yang lebih praktis yang tidak diragukan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw1 \f20 \fs24 lagi kemanjur annya dengan komplikasi yang rendah. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri40 \fi719 \expndtw-1 \i \f20 \fs24 Th e Dutch Guillain-Barre Study Group\i0 mengemukakan pengobatan dengan IVIg \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw0 \f20 \fs24 (400mg/KgBB s elama 5 hari) sama atau malahan lebih superior dibandingkan dengan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw2 \i \f20 \fs24 plasma exc hange.\par \plain\sl-311\fs31\par\pard\pard\sl-240 \li20 \ri36 \expndtw0 \f20 \fs24 immunog lobulin secara intravena (IVIg). dan mudah digunakan.\i Plasma exchange\i0 memerlukan tenaga yang terlatih dan peralatan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw1 \f20 \fs24 yang tidak se lalu dapat tersedia dengan biaya yang juga mahal. Tidak ada studi tentang keuntungan menggabungkan \par \plain\sl-134\fs13\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-240 \li8 540 \ri36 \expndtw-2 \f20 \fs24 9 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 . namun beberapa \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li20 \ri2180 \expndtw-3 \f20 \fs24 peny elidikan terbaru juga memperlihatkan keuntungan dari IVIg. namun \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw-1 \f20 \fs24 sangat mahal biayanya. Plasmapharesis menggunakan suatu\i plasma \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri39 \expndtw0 \i \f20 \fs24 exchange\i 0 lebih kurang 20 L (200-250 mL/Kg selama beberapa hari) secara bermakna \par \plain\sl-312\fs31\par\pard\pard\sl-240 \li20 \ri39 \expndtw2 \f20 \fs24 menurun kan lama dan beratnya\i disability \plain\tx4816 \tab \expndtw2 \f20 \fs24 pada pasien SGB.\i0 Penyelidikan-penyelidikan yang lain kurang meyakinkan dan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw1 \f20 \fs24 mengemukakan kemungkinan terjadinya relaps pada pasien dengan pemberian IVIg \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri5040 \expndtw-4 \f20 \fs24 dibandingk an\i plasma exchange. namun lebih murah \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri35 \expndtw2 \f20 \fs24 dibandingkan dengan IVIg.

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\i0 sehingga hanya salah satu terapi saja yang \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri6881 \expndtw-8 \f20 \fs24 digunakan. Jika plasma beku \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri56 \expndtw0 \f20 \fs24 digunakan seb agai cairan pengganti. myalgia. Namun demikian. beresiko untuk mendapatkan virus seperti hepatitis \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri7028 \expndtw-10 \f20 \fs24 dan HIV. sakit kepala. apabila \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri58 \expndtw-2 \f20 \fs24 keadaan menj adi gawat akibat terjadinya paralysis otot-otot respirasi maka kortikosteroid \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri53 \expndtw3 \f20 \fs24 dosis tinggi dapat diberikan. IVIg memperluas volume plasma juga \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri59 \expndtw0 \f20 \fs24 dapat memicu terjadinya\i Congestif Heart Failure\i0 (CHF) dan\i Renal Insuffiensi\i0 . dan hipertensi. nutropenia. Pemberian kortikosteroid harus diiringi dengan . mual. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \fi720 \expndtw0 \f20 \fs24 IVIg m emiliki efek samping dari terapi. seperti \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri58 \expndtw0 \f20 \fs24 sepsis yang d iyakini dapat menyebabkan penipisan immunoglobulin. dan muntah. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri49 \fi720 \expndtw1 \f20 \fs24 Kerugi an plasmapharesis termasuk komplikasinya jarang ditemukan. tetapi \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri54 \expndtw0 \f20 \fs24 gejalaseperti influenza dapat sembuh dengan sendirinya. Riwayat alergi sebelumnya terhadap \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri2864 \expndtw-3 \f20 \fs24 penggunaan IVIg merupakan kontra indikasi pengobatan. Pasien juga dapat mnegalami \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri57 \expndtw1 \f20 \fs24 meningitis as eptic. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \fi720 \expndtw-2 \f20 \fs24 Manfa at kortikosteroid untuk SGB masih controversial.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl1780 \plain\pard\sl-267 \li20 \ri57 \expndtw1 \f20 \fs24 penggunaan IVIg dan\i plasm a exchange. Pa sien\plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri49 \expndtw3 \f20 \fs24 pasien dapat menjadi demam.

\plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \fi719 \expndtw0 \f20 \fs24 Penggu naan ventilator mekanik menjadi suatu keharusan apabila diduga telah \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw-1 \f20 \fs24 terjadi para lysis otot-otot respirasi.\plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri2721 \expndtw-3 \f20 \fs24 kewaspadaa n terhadap efek samping yang mungkin terjadi. Diperlukan rawatan intensif apabila didapati keadaan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri6924 \expndtw-6 \f20 \fs24 seperti in i. \par \plain\sl-134\fs13\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-240 \li8 420 \ri54 \expndtw-27 \f20 \fs24 10 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 {\shp {\*\shpinst\shpleft0\shptop0\shpright12240\shpbottom15840 \shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz0 {\sp{\sn shapeType}{\sv 75}} {\sp{\sn pib}{\sv {\pict\jpegblip\picw612 \pich792 \picwgoal12240 \pichgoal15840 \picscalex100 \picscaley100 ffd8ffe000104a46494600010100000100010000ffdb004300010101010101010101010101010101 01010101010101010101010101010101010101010101010101010101010101010101010101010101 010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101 0101010101010101010101010101010101010101010101010101010101010101010101010101ffc0 001108067204fb03012200021101031101ffc4001f00000105010101010101000000000000000001 02030405060708090a0bffc400b5100002010303020403050504040000017d010203000411051221 31410613516107227114328191a1082342b1c11552d1f02433627282090a161718191a2526272829 2a3435363738393a434445464748494a535455565758595a636465666768696a737475767778797a 838485868788898a92939495969798999aa2a3a4a5a6a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6 c7c8c9cad2d3d4d5d6d7d8d9dae1e2e3e4e5e6e7e8e9eaf1f2f3f4f5f6f7f8f9faffc4001f010003 0101010101010101010000000000000102030405060708090a0bffc400b511000201020404030407 05040400010277000102031104052131061241510761711322328108144291a1b1c109233352f015 6272d10a162434e125f11718191a262728292a35363738393a434445464748494a53545556575859 5a636465666768696a737475767778797a82838485868788898a92939495969798999aa2a3a4a5a6 a7a8a9aab2b3b4b5b6b7b8b9bac2c3c4c5c6c7c8c9cad2d3d4d5d6d7d8d9dae2e3e4e5e6e7e8e9ea f2f3f4f5f6f7f8f9faffda000c03010002110311003f00fefe28a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a . \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri259 \fi720 \expndtw-2 \f20 \fs24 Lati han dan fisioterapi sangat diperlukan untuk mempercepat proses pemulihan. maka perlu dipasang \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri518 \expndtw-3 \f20 \fs24 pipa hidung -lambung (NGT) untuk dapat memenuhi kebutuhan makanan dan cairan. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri58 \fi719 \expndtw0 \f20 \fs24 Apabil a terjadi kelumpuhan otot-otot wajah dan menelan.

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Kesimpulan \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li19 \ri53 \fi720 \expndtw-1 \f20 \fs24 Pada pasien yang diduga SGB. Faktor-faktor ini yaitu. emboli paru. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \expndtw0 \f20 \fs24 memerlukan pe rnafasan bantuan.total. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri50 \fi720 \expndtw0 \f20 \fs24 Sekita r 85% pasien dengan SGB berhasil sembuh dengan penyembuhan fungsi \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw0 \f20 \fs24 dalam 6-12 bu lan. dan disestesia. Angka kematian \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri49 \expndtw0 \f20 \fs24 <5% pada peng obatan yang professional. sensori ataxia. pemeriksaan terkait harus segera dilakukan untuk \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri53 \expndtw-1 \f20 \fs24 menegakkan d iagnosa. berat. \plain\par \sl-148\fs15\par\sl-240\fs24\par\par\par\pard\pard\sl-240 \li19 \ri6452 \expndtw -7 \b \f20 \fs24 X.Latihan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri1619 \expndtw-2 \f20 \fs24 dan fisiot erapi sangat diperlukan untuk mempercepat proses pemulihan. prognosis yang jelek secara langsung \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri53 \expndtw1 \f20 \fs24 berhubungan d engan beratnya episode akut dan lambatnya onset pada pengobatan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri7106 \expndtw-8 \f20 \fs24 spesifik. usia > 60 tahun. Penyembuhan maksimal dalam 18 bulan setelah onset. dan parestesia. sepsis. Penyebab kematian biasanya berupa sindrom \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri2764 \expndtw-3 \f20 \fs24 distress p ernafasan. Pemantauan pasien secara kontinu diperlukan untuk memberikan \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw0 \f20 \fs24 terapi lebih intensif apabila diduga telah mengalami paralysis otot-otot respirasi. \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li20 \ri49 \expndtw0 \f20 \fs24 Sekitar 7-15% pasien memiliki gejala neurologist sisa yang menetap termasuk bilateral \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri53 \expndtw0 \i \f20 \fs24 footdrop\i 0 . Pada umunya. \par \plain\sl-134\fs13\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-240 \li8 420 \ri54 \expndtw-27 \f20 \fs24 11 \par \sect\sectd\sbkpage\margtsxn1360\pard \jexpand\viewkind1\paperw12240\paperh15840 . arefleksia. Otot tangan instrinsik kebas. bagimanapun \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri60 \expndtw1 \f20 \fs24 pada beberapa pasien memiliki kelemahan yang menetap. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri58 \fi720 \expndtw3 \f20 \fs24 Faktor -faktor yang memperberat selama fase akut dari penyakit dapat \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri51 \expndtw1 \f20 \fs24 memperburuk p roses penyembuhan. dan henti jantung.

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\plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri2546 \fi360 \expndtw-3 \f20 \fs24 \cf 6 {\ul h}{\ul t}{\ul t}{\ul p}{\ul :}{\ul /}{\ul /}{\ul w}{\ul w}{\ul w}{\ul . Howard.}{\ul e}{\ul m}{\ul e}{\ul d}{\ul i}{\u l c}{\ul i}{\ul n}{\ul e}{\ul . Yogyakarta.}{ \ul a}{\ul m}{\ul e}{\ul r}{\ul i}{\ul c}{\ul a}{\ul n}{\ul f}{\ul a}{\ul m}{\ul .\b Neuropati. Yogyakarta. Asnawi C.. Jakarta.\b0 \cf6 {\ul }{\ul h}{\ul t}{\ul t}{\ul p}{\ul :} {\ul /}{\ul /}{\ul w}{\ul w}{\ul w}{\ul .\b0 Gadjah Mada University \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri5065 \fi360 \expndtw-4 \f20 \fs24 Pre ss. Dian Rakyat. 2001 \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri57 \expndtw2 \f20 \fs24 4. Gadjah Mada \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri4101 \fi360 \expndtw-3 \f20 \fs24 Uni versity Press. Kapita Selekta.. PDSSI.\b Sindrom Guillain-Barre. Newswanger Dana L.\b0 Edisi VIII. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri5484 \fi359 \expndtw-5 \f20 \fs24 EGC . Margono.\b Buku Ajar Neurologi Klinis. 2000 \plain\par \sl-311\fs31\par\pard\pard\sl-240 \li19 \ri60 \expndtw3 \f20 \fs24 6. Edi tor : Harsono. \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri6024 \fi360 \expndtw-6 \f20 \fs24 Jak arta.0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a 0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00ffd9 }}} {\sp{\sn fRecolorFillAsPicture}{\sv 0}} {\sp{\sn posrelh}{\sv 1}} {\sp{\sn posrelv}{\sv 1}} {\sp{\sn fAllowOverlap}{\sv 1}} {\sp{\sn fBehindDocument}{\sv 1}} }}\margt1440\margb140\margr1740\margl2140 \plain\pard\sl-272 \li20 \ri2930 \fi2510 \expndtw-6 \b \f20 \fs24 DAFTAR KEPUSTA KAAN \plain\par \sl-307\fs31\par\pard\pard\sl-240 \li19 \ri49 \expndtw0 \f20 \fs24 1. Warren Charles R. Sidharta P. Levitt.\b Neurologi Klinis Dasar. Lowrence P.\b0 Edisi TI.}\cf0 2004 \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri60 \expndtw1 \f20 \fs24 3. 2005 \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li20 \ri1008 \expndtw-1 \f20 \fs24 2.\b0 Edisi ke V. Mack. Werner. K J.\b Buku Saku Neurologi. 1996 \plain\par \sl-312\fs31\par\pard\pard\sl-240 \li19 \ri56 \expndtw1 \f20 \fs24 5. L.\b Guillain-Barre Syndrome.}{\ul c}{\ul o}{\ul m}{\ul . Mardjono M .

i}{\ul l}{\ul y}{\ul p}{\ul h}{\ul y}{\ul s}{\ul i}{\ul c}{\ul i}{\ul a}{\ul n} {\ul .}{\ul c}{\ul o}{\ul m}{\ul .}\cf0 May 2004 \par \plain\sl-134\fs13\par\sl-240\fs24\par\par\par\par\par\par\par\par\par\par\par\p ar\par\par\par\par\par\par\par\par\par\par\par\par\par\par\par\par\par\pard\pard \sl-240 \li8060 \ri54 \expndtw-27 \f20 \fs24 12 \par } .

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