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$+ Ka-.- /an Pem1a0a-an Ka-.Ny S .-ia "8 *a0.n 1erk.n2.n' ke poliklinik /en'an kel.0an mera-a ke*ak.*an karena -e*iap akan men-*r.a-i ra-anya in'in 1.n.0 /iri Ny+S 2.'a men'a*akan 1a0)a -eki*ar %4# 0ari men2elan' men-*r.a-i *i/ak 1i-a kon-en*ra-i pa/a peker2aannya7 /epre-i7 mera-a lela07 3ema/an -aki* kepala+ Un*.k men'a*a-i -aki* kepalany Ny+ S men''.nakan i1.pro,en $## m'7 Ny+ S mera-akan 'e2ala pnemen-*r.al -in/rom -emakin 1era* /en'an 1er*am1a0nya .m.r /an -e*ela0 mela0irkan anak ke/.a+ Dia'no-i- : Premen-*r.al /y-p0ori3 Di-or/er+ Me*o/e yan' /i'.nakan a/ala0 me*o/e FARM: a+ Fin/in' o Nama : Ny+ S o U-ia : "8 Ta0.n ;eni- Kelamin : Peremp.an o o Kel.0an Pa-ien : 4 mera-a ke*ak.*an karena -e*iap akan men-*r.a-i ra-anya in'in 1.n.0 /iri 4 -eki*ar %4# 0ari men2elan' men-*r.a-i *i/ak 1i-a kon-en*ra-i pa/a peker2aannya7 /epre-i7 mera-a lela07 3ema- /an -aki* kepala+ Ha-il Pemerik-aan :Premen-*r.al /y-p0ori3 Di-or/er+ o Ri)aya* Pen'o1a*an : I1.pro,en $##m' o 1+ A--e--men* Ha-il pemerik-aan pa-ien /i/ia'no-i- men'alami Premen-*r.al /y-p0ori3 Di-or/er+ er/a-arkan *eori *er2a/inya PMDD7 a/a 6 pen'o1a*an .*ama yan' /ikem1an'kan /en'an *ar'e*: + Hipo*alam.-4pi*.i*ari4o9ari.m7 /en'an men'0am1a* ,l.k*.a-i 0ormone 'ona/al< 6+ Sara, -ero*oner'i3 /i o*ak7 /en'an menin'ka*kan *ran-mi-i pa/a -ara, -ero*oner'i3 (=HMP7 6#&+ ;.rnal yan' /i *.li- ole0 Pearlstein dan Steiner 7 /i2ela-kan 1a0)a pen'o1a*an .*ama .n*.k PMDD yai*. men''.nakan 'olon'an o1a* an*i/epre-an SSRI (Pearl-*ein /an S*eine76#6&+ erik.* ini o1a* SSRI yan' *ela0 /i-e*.2.i ole0 FDA7 an*ara lain: Pro>a3 (,l.o?e*ine7 /ipa-arkan .n*.k PMDD /en'an nama @Sara,em@&7 olo,* (-er*raline&7 an/ Pa?il =R (paro?e*ine&+ Peneli*ian yan' /ilak.kan ole0 Steiner, et al + /i/apa*kan 0a-il 1a0)a ,l.o?e*ine 1er'.na pa/a pen'o1a*an PMDD+ Pen'o1a*an ,l.o?e*ine 6# m' per 0ari men.r.nkan po*en-i *er2a/inya e,ek -ampin'7 -elain 2.'a menin'ka*kan e,ika-i *erapi (S*einer7 et al., BBC&+ 3+ Re-ol.-i + Terapi Farmakolo'i o Pem1eriaan I1.pro,en -./a0 *epa*7 karna /i '.nakan .n*.k men'.ran'i ra-a nyeri a*a. -aki* kepala+ Pem1eriaannya -an'a* e,ek*i, 2ika m.lai /imin.m 6 0ari -e1el.m men-*r.a-i /an /ilan2.*kan -ampai 0ari 46 men-*r.a-i+ Apa1ila *i/ak e,ek*i, pem1erian i1.pro,en /o-i-nya 1i-a /i*in'ka*kan+ o Un*.k pen'a*a-an PMDD nya /i'.nakan Fl.o?e*ine /en'an /o-i- 6# m' 0ari 6+ Terapi Non4Farmakolo'i o I-*ira0a* yan' 3.k.p o Ola0 ra'a yan' *era*.r (*er.*ama 1er2alan&7Ola0 ra'a Mamp. menin'ka*kan pro/.k-i en/orp0in o*ak yan' /apa* men.r.nkan -*re-- -e0in''a -e3ara *i/ak lan'-.n' 2.'a men'.ran'i nyeri +
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o'a + men/en'arkan m.-ik yan' /i-.kai a*a. -.ara 1.r.n' -er*a 'emer3ik air7 in/i9i/. /ian2.rkan .n*.k memili0 m.-ik yan' /i-.kai /an m.-ik *enan' -eper*i m.-ik kla-ik7 /an /imin*a .n*.k 1erko-en*ra-i pa/a lirik /an irama la'.+ Pa-ien 2.'a /iper1ole0kan .n*.k men''erakkan *.1.0 men'ik.*i irama la'. -eper*i 1er'oyan'7 men'e*.kkan 2ari a*a. kaki+ Mo/i,ika-i /ie* -eper*i pem1a*a-an 'aram7 ka,ein7 3okla*7 alko0ol /an lemak (-e1anyak 6#4 "#&+
/+ Moni*orin' + Moni*orin' E,ek*i9i*a- *erapi7 /en'an meli0a* 1e1erapa 'e2ala PMDD+ 6+ Moni*orin' E,ek -ampin' yan' m.n'kin *er2a/i pa/a o1a* yan' /i'.nakan7 -eper*i reak-i aler'i7 in-omnia7 0al.-ina-i7 per.1a0an -*a*.- men*al /ll (pa/a pen''.naan ,l.o?e*ine&7 /an rek-i pa/a k.li*7 pen/ara0an7 ma-ala0 GI (pa/a pen''.naan I1.pro,en&+ "+ Moni*orin' In*erak-i o1a*7 ,l.o?e*ine /apa* menin'ka*kan e,ek an*ipla*ele* /ari o1a* NSAID /alam ka-.- ini a/ala0 i1.pro,en (amamo*o7 et al., 6##C&+ Selain i*.7 ,l.o?e*ine mer.pakan in0i1i*or i-oen>im =P6=B7 -e0in''a pen''.naan 1er-amaan /en'an o1a*4o1a* yan' /ime*a1oli-me pa/a en>im *er-e1.* perl. /imoni*orin'7 -eper*i lo-ar*an7 ,eni*oin7 )ar,arin7 -*a*in7 /-1+ (a?*er7 6##8&
DAFTAR PUSTAKA + a?*er7 K+7 6##87 Stockley’s Drug Interactions7 *0e P0arma3e.*i3al Pre--7 5on/on7 !+ 6+ Pearl-*ein7 T7 an/ S*einer7 M+7 6#67 Premen-*r.al Dy-p0ori3 Di-or/er: .r/en o, Illne-- an/ Trea*men* Up/a*e7 The Journal Of Life Long Learning In Psychiatry 7 9ol+ 7 No+ 7 46+ "+ S*einer7 M+7 S*ein1er'7 S+7 S*e)ar*7 D+7 =ar*er7 D+7 er'er7 =+7 Rei/7 R+7 Gro9er7 D+7 S*einer7 D+7 BBC7 Fl.o?e*ine In T0e Trea*men* O, Premen-*r.al Dy-p0oria7 T0e Ne) En'lan/ ;o.rnal o, Me/i3ine7 9ol+ ""67 No+ 6"7 4!+ $+ amamo*o7 H+7 Haya-0i7 A+7 Nakam.ra7 +7 Seki>a)a7 ;+7 6##C7 Fa*e an/ Par*i*ionin' o, Sele3*e/ P0arma30e.*i3al- in A.a*i3 En9ironmen*7 Enviroental Sciences7 67 ! ("$%4"C8&+
