Dr. dr. Maruhum Bonar H. Marbun, Sp.PD-KGH, FINASIM
| Speciality | Internal Medicine |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
| Speciality | Internal Medicine |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
| Speciality | Neuro Surgery |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
Dr. dr. Mardjono Tjahjadi, Sp.BS, Subsp. N-Vas, F. N-Onk, PhD, FICS is a Neurosurgeon with a subspecialty in Cerebrovascular Surgery. He earned his PhD from Helsinki, Finland.
Dr. Joy is the holder of the MURI Record “Fastest Graduate Doctor in the Doctoral Program (S3) in Medical Science in 18 Months, 12 Days”
Commonly known as Dr. Joy, he is also the author of two books titled Aneurisme Otak 1&2.
He specializes in treating various brain conditions, including brain aneurysms (bulging of brain blood vessels), cerebral vascular stenosis (narrowing of brain blood vessels), brain hemorrhages, benign tumors (meningiomas), and brain cancer.
https://scholar.google.com/citations?user=beZFQFwAAAAJ&hl=id
Myasthenia gravis adalah penyakit autoimun yang terjadi akibat antibodi merusak komunikasi antara otot dan saraf, sehingga otot menjadi lemah. Otot yang sering terdampak kondisi ini adalah otot mata, mulut, tenggorokan, dan kaki serta tangan.
Meski bisa dialami segala usia, pengidap myasthenia gravis paling banyak berusia 20-30 tahun pada wanita dan di atas 50 tahun untuk pria.
Kondisi ini perlu segera ditangani, karena jika otot-otot yang terdampak tidak berfungsi dengan baik, maka aktivitas harian akan sulit dilakukan. Pada kondisi yang parah, pengidap myasthenia gravis bisa mengalami kesulitan menelan bahkan bernapas.
Myasthenia gravis tidak bisa disembuhkan. Namun, kondisi ini bisa dikontrol gejalanya. Semakin cepat terdeteksi, semakin baik.
Myasthenia gravis terjadi ketika ada gangguan antara komunikasi saraf dan otot. Karena itu, penyakit ini masuk ke dalam golongan penyakit neuromuskular.
Normalnya, saraf berkomunikasi dengan otot dengan cara mengeluarkan zat kimia yang disebut neurotransmiter. Zat ini secara alami akan masuk ke area sel otot yang disebut reseptor.
Pada orang dengan myasthenia gravis, antibodi yang seharusnya melindungi tubuh, justru menghancurkan reseptor di otot. Ini membuat semakin sedikit otot yang menerima sinyal dari saraf, sehingga otot jadi lemah dan sulit digerakkan.
Gejala myasthenia gravis yang umum dialami antara lain:
Gejala akan semakin parah saat pengidapnya sedang merasakan kondisi-kondisi di bawah ini:
Ada beberapa tes yang bisa dilakukan dokter untuk mendiagnosis myasthenia gravis, yaitu:
Tes darah dilakukan untuk melihat jenis antibodi yang menghentikan komunikasi antara saraf dan otot.
Pemeriksaan fungsi saraf dan otot dilakukan dengan elektromiografi atau EMG.
Pada pemeriksaan ini, dokter akan memasukkan jarum kecil ke area-area otot yang mengalami gangguan.
Jarum tersebut akan menangkap sinyal hantaran saraf ke otot dan menggambarkannya dalam bentuk grafik di layar. Dokter spesialis neurologi akan melihat grafik yang tertera pada layar dan menilai apabila ada gangguan pada komunikasi antara saraf dan otot.
Lihat Juga: Pemeriksaan EMG oleh dr. Nurul Fadli, Sp.N
CT-Scan dan MRI juga bisa dilakukan untuk mendeteksi myasthenia gravis. Pada pengidap penyakit ini, biasanya ada pembesaran thymus yang akan terlihat pada hasil scan.
Thymus adalah kelenjar kecil pada dada yang berperan penting dalam sistem imun.
Tes genetik dilakukan untuk melihat ada atau tidaknya gen yang diwariskan dari orang tua yang menyebabkan meningkatnya risiko myasthenia gravis.
Penanganan Myasthenia Gravis yang bisa dilakukan adalah:
Jenis obat yang diberikan antara lain anticholinesterase, steroid, atau obat-obatan untuk menekan imun (imunosupresan)
Plasma adalah cairan bening pada darah. Pada plasmaferesis, cairan plasma akan dipisahkan dari sel-sel darah lalu kemudian ditempatkan kembali ke tubuh untuk merangsang lebih banyak pembentukan plasma dibanding sebelumnya.
Immunoglobulin yang mengandung antibodi sehat dari donor diberikan secara intravena pada pasien dengan GBS. Pada dosis tinggi, immunoglobulin bisa mencegah kerusakan antibodi lebih jauh yang bisa memperparah kondisi GBS.
Metode ini diharapkan dapat menyingkirkan antibodi tertentu yang berkontribusi pada serangan sistem imun ke saraf tepi.
Beberapa pengidap myasthenia gravis punya tumor di kelenjar thymus. Tumor ini harus diangkat, karena bisa membantu meredakan gejala.
Atur janji temu Anda dengan dokter sekarang juga lewat Chat Whatsapp, halaman Book Appointment, atau aplikasi Care Dokter yang bisa di-download di Google Play dan App Store. Selain janji temu, Anda juga bisa memantau nomor antrian dan mendapatkan informasi lengkap lainnya di sana.
Multiple sclerosis (MS) is one of the muscle and nerve diseases that, in severe conditions, can lead to paralysis. This condition cannot be completely cured, but symptoms can be treated to improve the quality of life of the sufferers.
Multiple sclerosis is a chronic autoimmune disease that affects the central nervous system, including the brain and spinal cord.
This condition causes the immune system to attack the protective covering of nerve fibers (myelin), leading to inflammation and damage to the myelin. As a result, there are nerve disturbances that cause individuals to experience vision problems, mobility issues (disabilities), and loss of body balance.
Multiple sclerosis lasts a lifetime. Its severity can vary from mild to severe.
This condition can affect anyone of any age. However, multiple sclerosis most commonly occurs in women aged 20 to 40 years.
As mentioned earlier, multiple sclerosis occurs because the body’s defense system attacks nerve fibers (autoimmune). However, the exact triggers of this autoimmune condition are not yet known.
Doctors suspect that this autoimmune reaction may be caused by:
Symptoms of multiple sclerosis can vary from person to person. However, here are some common symptoms experienced by most patients:
Currently, there is no cure for multiple sclerosis. However, doctors have several ways to alleviate symptoms and improve the quality of life of patients, such as:
Doctors can prescribe medications that suppress the immune response. The goal of these medications is to reduce inflammation caused by the autoimmune response.
This method also helps slow down the damage to myelin. Medications are usually administered through infusions.
In addition to medications to combat inflammation, doctors can also prescribe anticonvulsants and medications that can maintain cognitive function.
Physiotherapy, occupational therapy, and speech therapy may be recommended for patients experiencing movement and speech disorders.
Counseling aims to provide encouragement to patients to prevent depression due to multiple sclerosis.
The diagnosis of multiple sclerosis requires several tests such as:
Unfortunately, there is no definitive way to prevent multiple sclerosis. This is because the exact cause is not yet known. However, consuming healthy foods and leading a healthy lifestyle are believed to reduce the risk of this disease.
See a doctor immediately if you experience the symptoms mentioned above.
Mandaya Royal Hospital is one of the best places to treat neurological disorders. At our Brain-Spine-Pain department, you will be treated by neurology specialists working as a team to achieve optimal healing.
Additionally, Mandaya Hospital offers medical rehabilitation services to help patients restore muscle function.
Schedule an appointment with a doctor now via Whatsapp Chat, the Book Appointment page, or the Care Doctor app, which can be downloaded from Google Play and the App Store. In addition to appointments, you can also monitor queue numbers and get other complete information there.
| Speciality | Orthopaedics & Traumatology, Orthopedic Surgery sub. Spine |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
Dr. Mohammad Fachry Lubis, Sp.OT (K) is an orthopedic consultant specializing in spine, who is expert in addressing various issues in the spine area such as pinched nerves and scoliosis.
Educational Background
Courses & Training
| Speciality | Pulmonology |
| Location | Mandaya Royal Puri |
| Language Spoken | English, Indonesia |
Rating:(average: 5 out of 5. Total: 2) |
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| Patient Satisfaction Reviews | 2 Patient Comment |
Educational Background
Courses & Training
| Speciality | Dermatovenerology |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
Educational Background
Courses & Trainings
| Speciality | Radiology |
| Location | Mandaya Royal Puri |
| Language Spoken | Indonesia, English |
Educational Background
Courses & Training
| Speciality | Urology |
| Location | Mandaya Royal Puri |
| Language Spoken | English |
Rating:(average: 5 out of 5. Total: 5) |
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| Patient Satisfaction Reviews | 5 Patient Comment |
Educational Background
Courses & Trainings
Reviewed on May 20, 2023
Ramah banget pas diperiksa sama dokter Riska, jelas banget dan sangat detil
Reviewed on Feb 8, 2023
Pelayanan dokter sangat baik.