Presentation is loading. Please wait.

Presentation is loading. Please wait.

SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med Fak.Kedokteran UGM.

Similar presentations


Presentation on theme: "SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med Fak.Kedokteran UGM."— Presentation transcript:

1

2 SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med Fak.Kedokteran UGM

3

4

5

6 Physiologic Requirements to Perform Exercise

7

8 Gravity: role of baroreceptor reflex in orthostatic adjustment Baroreceprots in aorta & carotid bodies Cardiovascular ctr in medulla oblongata Vaso- constricti on Heart rate Symp. + Parasymp. - pressure

9 Tn. XXX Usia : 52 Tahun * Keterangan : 1. Reaksi Hypertonie 2a. Hypotonie Asympatothone 2. Hypotonie Sympatothone 3. Reaksi Vasovagale Parameter Real Standart QT Interval 0,40 0,40 MAP 104, Pulse Pressure IMT 36,59 Keterangan Obesitas Lebih 24,7 Kg E.C.G. Sinus Normal ZONA 2

10

11

12 No. Induk Instansi Periksa Ke Tgl. Periksa Nama Keluhan Pakai obat Umur Berat Badan Tinggi Badan L.P.B. DJ. Max pred. % DJP : (02635) : Atlet Sepak Bola : SATU : 13 Desember 2003 : Atlet 1 : - : 22 Tahun : 57 Kg : 165,5 Cm : 1,63 m² : 198 x per menit : 76,77 PWC Pred 194 watt PWC Real 103,09 % DJ Latiuhan 150 – 170 /menit KondisiDJSistolikDiastolik Istirahat Beban Akhir Pemulihan E.K.G.Sinus Normal VO2 Max49.1 cc/kg/menit MET14.0 MET IMT20,81 KET.Ideal 0Kg

13 ERGOMETRY TEST

14

15

16 Cardiac PhysiologyElectrocardiography Diagnosis

17 Electrocardiogram (ECG/EKG) Note: Tissue fluids conduct electricity. EKG: –Measure of the electrical activity of the heart.

18

19 PENGARUH JENIS MINUMAN TERHADAP OSMOLARITAS TUBUH Two Very Different Experimental Observations urine flow osmolarity drink 1200 ml water urine flow osmolarity drink 1200 ml isotonic saline

20 V1V1 V2V2 V3V3 V4V4 V5V5 V6V6 6 PRECORDIAL (CHEST) LEADS Spine Sternum

21 Willem Einthoven ( ) ‏

22 ST Elevation Infarction Here’s a diagram depicting an evolving infarction: A. Normal ECG prior to MI B. Ischemia from coronary artery occlusion results in ST depression (not shown) and peaked T-waves C. Infarction from ongoing ischemia results in marked ST elevation D/E. Ongoing infarction with appearance of pathologic Q-waves and T-wave inversion F. Fibrosis (months later) with persistent Q- waves, but normal ST segment and T- waves

23

24 % Carbohydrate % Fat Carbohydrate and fat utilization during exercise Exercise Moderate Light Intense

25

26 Percent of VO 2 max 25%50%75%100% [Blood Lactate] Untrained Trained Effect of Training on Blood Lactate / Lactate Threshold LT

27

28 General Level of Physiologic Function % Age, year Sedentary Person Active Person

29

30 Physical activity

31 Initiation and Maintenance of PA Behavior Change Self efficacy beliefs critical in initiation Pleasure, satisfaction, and self regulatory skills (goal setting and monitoring) are most important in sustaining PA behavior

32

33 Touch

34 - John Hughlings Jackson ( ) Father of English Neurology Quoted by Stephen Porges 11/01 Social Sympathetic Parasympathetic “Love” Transaction (Mouth) Contact (Eyes) Alarm Orient Fight/Flight Discharge Rest Freeze Immobility Disassociation Sleep (4 Stage) Alarm “Voodoo Death” Catatonia

35 34 Social Engagement Fight, Flight, Freeze Immobility Safe Danger Life Threatening Ventral Vagal Sympathetic Nervous System Dorsal Vagal System

36 Ekman’s Emotional Faces

37 Diet and risk of NCD Up to 80 % of cases of CHD and up to 90 % of type 2 diabetes could be avoided through changing lifestyle factors. About one third of cancers could be prevented by eating healthily, maintaining normal weight and being physically active throughout the life span.

38

39

40 How long will you have to walk in order to burn those extra 305 calories?* *Based on 130-pound person Maintaining a Healthy Weight is a Balancing Act Calories In = Calories Out

41

42 Mildly Dehidrated Extremely Dehydrated

43

44 A Healthy Environment Means Healthier Kids

45 Most People with Health Conditions Don’t Do What They Should Oops… I Forgot I Don’t Care I Don’t Understand I’m Too Busy I’m Confused I’m Afraid I Can’t Afford It

46 JAZAA KUMULLAH KHAIRAN KATSIRAN


Download ppt "SEHAT DITINJAU DARI ASPEK BIOPSIKOSOSIOSPIRITUAL Dr. Zaenal M. Sofro, AIFM, Sports & Circulatory Med Fak.Kedokteran UGM."

Similar presentations


Ads by Google