Sebuah Kasus Jarang: Sindrom Hipoventilasi Obesitas dengan Obstructive Sleep Apnea

Syazili Mustofa, Pandu Kumaya Jati, Putu Ristyaning Ayu, Risti Graharti, Hari Dorisman, Retno Ariza Soeprihatini Soemarwoto

Sari


Sindrom Pickwickian Sindrom juga dikenal dengan sindrom Hipoventilasi pada Obesitas (SHO) adalah kondisi ditemukannya akumulasi dari minimal dua dari gejala yaitu: obesitas, gangguan tidur terkait pernapasan, dan hipoventilasi alveolar kronik. Penegakan diagnosis baru dapat dilakukan setelah menyingkirkan penyebab hipoventilasi lain. Kami melaporkan sebuah kasus yang kami temukan di Rumah Sakit Umum Daerah Abdoel Moeloek Provinsi Lampung, pada tanggal 20 Agustus 2023, dimana wanita 35 tahun datang dengan keluhan utama sesak napas yang semakin bertambah tambah sejak dua hari sebelum masuk rumah sakit. Sesak sering kambuh dalam 6 bulan terakhir dan dirasakan pada malam dan menjelang pagi hari, disertai mengi dan dipengaruhi oleh posisi tidur. Ada riwayat asma pada riwayat penyakit terdahulu pasien sejak kecil. Pasien sering mendengkur sejak 1 tahun dan sering merasa kurang tidur pada siang hari karena tidur malamnya terganggu. Pada pemeriksaan fisik didapatkan pasien obesitas tingkat 2 dengan lingkar leher 37 cm dan skor Apnea Hypopnea Index (AHI) 49. Pemeriksaan penunjang menunjukkan bahwa pasien mengalami peningkatan kadar karbondioksida dalam darah. Karena memiliki tiga tanda yaitu obesitas, hipoventilasi dan OSA maka pasien didiagnosis dengan Sindrom Hipoventilasi pada Obesitas (SHO)


Kata Kunci


Hipoventilasi Alveolar Kronik; Hiperkapnia Kronik; Obesitas; Obstructive Sleep Apneu; Obesity Hypoventilation Syndrome

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Referensi


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DOI: https://doi.org/10.33024/jikk.v12i2.18082

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