Masalah Psikologis Dan Gangguan Jiwa Pada Kehamilan Dan

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  • 8/15/2019 Masalah Psikologis Dan Gangguan Jiwa Pada Kehamilan Dan

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    MASALAH PSIKOLOGIS PADAMASALAH PSIKOLOGIS PADA

    KEHAMILANKEHAMILAN

    Keha"ila#Keha"ila#  eru$aha# %ra"a&is $iolo'i(! si(olo'i(eru$aha# %ra"a&is $iolo'i(! si(olo'i(%a# a%a&asi a%a wa#i&a%a# a%a&asi a%a wa#i&a

     )ri"es&er I )ri"es&er I  "or#i#' si*(#es! (e&e'a#'a# %a#"or#i#' si*(#es! (e&e'a#'a# %a#

    e"$esara# a+u%ara! eru$aha# ,si(! se(sual! %ie&!e"$esara# a+u%ara! eru$aha# ,si(! se(sual! %ie&!er'era(a#! e#i#'(a&a# u(ura# eru&er'era(a#! e#i#'(a&a# u(ura# eru&  -u(&uasi-u(&uasi%a# 'a#''ua# e"osi%a# 'a#''ua# e"osi

    lu(&uasi %a# 'a#''ua# e"osi &erse$u&! %i&e#&u(a# :lu(&uasi %a# 'a#''ua# e"osi &erse$u&! %i&e#&u(a# :

      / rea(si &erha%a (eha"ila#/ rea(si &erha%a (eha"ila#

      / e#'ala"a# (eha"ila# se$elu"#+a/ e#'ala"a# (eha"ila# se$elu"#+a

      / (eha"ila# %e#'a# "o&i0asi +a#' (ura#' 1elas/ (eha"ila# %e#'a# "o&i0asi +a#' (ura#' 1elas

      / (ura#' %u(u#'a# sua"i a&au (eluar'a/ (ura#' %u(u#'a# sua"i a&au (eluar'a

      / eru$aha# 'a+a hi%u/ eru$aha# 'a+a hi%u

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     )ri"es&er II )ri"es&er II  eru$aha# e"osi (e*il. )i"$ul!eru$aha# e"osi (e*il. )i"$ul!(are#a :(are#a :

    / (esa# &u$uh/ (esa# &u$uh

      / eru$aha# se(sual/ eru$aha# se(sual

      / 1a#i# %i(a#%u#'/ 1a#i# %i(a#%u#'  )ri"es&er III )ri"es&er III  eru$aha# e"osi "e#i#'(a& la'ieru$aha# e"osi "e#i#'(a& la'i  

    %aa& &i"$ul 'a#''ua# 1iwa ri#'a# sa"ai $era&%aa& &i"$ul 'a#''ua# 1iwa ri#'a# sa"ai $era&

      )i"$ul! (are#a : )i"$ul! (are#a :

      / erasaa# ,si( (ura#' e#a(/ erasaa# ,si( (ura#' e#a(

      / ,#a#sial 2(eerlua# $a+i! $ia+a ersali#a# %s$3/ ,#a#sial 2(eerlua# $a+i! $ia+a ersali#a# %s$3

      / (aasi&as se$a'ai ora#' &ua/ (aasi&as se$a'ai ora#' &ua

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    I#si%e#sI#si%e#s

      Ga#''ua# e"osio#al serius a%a re#a&al re#%ah 1i(aGa#''ua# e"osio#al serius a%a re#a&al re#%ah 1i(a%i$a#%i#'(a# %e#'a# 'a#''ua# e"osio#al%i$a#%i#'(a# %e#'a# 'a#''ua# e"osio#al post partum post partum 245 6245 647 8347 83

    E&iolo'iE&iolo'i  E&iolo'i "ul&i9a(&orial :E&iolo'i "ul&i9a(&orial :

      / hor"o#al/ hor"o#al

      / #euroe#%o(ri#/ #euroe#%o(ri#

      / $io(e"i(al/ $io(e"i(al

      / si(olo'is/ si(olo'is

      / sosial $u%a+a/ sosial $u%a+a

      / 'e#e&i(/ 'e#e&i(

      / (eri$a%ia#/ (eri$a%ia#

      / 'a$u#'a# $e$eraa 9a(&or %ia&as/ 'a$u#'a# $e$eraa 9a(&or %ia&as

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    PENGAUH PSIKOLOGIS PADAPENGAUH PSIKOLOGIS PADA

    KEHAMILANKEHAMILAN

    A"$i0ale#si &erha%a (eha"ila#A"$i0ale#si &erha%a (eha"ila#  s&res ;s&res ; Ke(hawa&ira# $a+i#+a &i%a( #or"al 2wa#i&a ha"ilKe(hawa&ira# $a+i#+a &i%a( #or"al 2wa#i&a ha"il

    %e#'a# resi(o (elai#a# $awaa# 1a#i#%e#'a# resi(o (elai#a# $awaa# 1a#i#  s&res ;;!s&res ;;!

     )u#is < Gol$us! 4==43 )u#is < Gol$us! 4==43 Ke&a(u&a# a(a# #+eri ersali#a#Ke&a(u&a# a(a# #+eri ersali#a#  "e#e(a# 1iwa"e#e(a# 1iwa Pe#'ala"a# (eha"ila# %e#'a# (o"li(asi "e%i(Pe#'ala"a# (eha"ila# %e#'a# (o"li(asi "e%i(

    %a# o$s&e&ri( (ura#' $ai(%a# o$s&e&ri( (ura#' $ai( 'a#''ua# si(olo'is 2'a#''ua# si(olo'is 2>ur'er %((! 4==?>ur'er %((! 4==?  wa#i&a %e#'a# (o"li(asiwa#i&a %e#'a# (o"li(asi

    (eha"ila#(eha"ila#  @ "e"ili(i (e&a(u&a# &erha%a@ "e"ili(i (e&a(u&a# &erha%a(ele"aha# $a+i "ere(a a&au "e#1a%i %eresi3(ele"aha# $a+i "ere(a a&au "e#1a%i %eresi3

    Wa#i&a %e#'a# 'a#''ua# "e#&al seriusWa#i&a %e#'a# 'a#''ua# "e#&al serius  "e#''a#''u (eha"ila#"e#''a#''u (eha"ila#

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    PEMEIKSAAN KESEHA)ANPEMEIKSAAN KESEHA)AN

     JIWA PENA)AL JIWA PENA)AL

    Se$ai(#+a "asalah (eseha&a# "e#&alSe$ai(#+a "asalah (eseha&a# "e#&al

    %i$i*ara(a#%i$i*ara(a#

    S(ri#i#' 'a#''ua# "e#&al 2'a#''ua# *e"as!S(ri#i#' 'a#''ua# "e#&al 2'a#''ua# *e"as!%eresi %a# si(o&i(3 erlu %ila(u(a#%eresi %a# si(o&i(3 erlu %ila(u(a#

    Pe#''u#aa# za& si(oa(&i9 2al(ohol! ro(o(!Pe#''u#aa# za& si(oa(&i9 2al(ohol! ro(o(!

    %ru's a$use3 se$elu"#+a a&au saa& i#i erlu%ru's a$use3 se$elu"#+a a&au saa& i#i erlu

    %i*a&a&%i*a&a& Ge1ala/'a1ala "e#&al 2(e*e"asa# %a#Ge1ala/'a1ala "e#&al 2(e*e"asa# %a#

    %eresi3 erlu %ieri(sa%eresi3 erlu %ieri(sa

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    GANGGUAN JIWA PADA KEHAMILANGANGGUAN JIWA PADA KEHAMILAN

    DAN PENANGANANNYADAN PENANGANANNYA

    4. GANGGUAN BEMAS4. GANGGUAN BEMAS

     

    a. 'a#''ua# *e"as "e#+eluruha. 'a#''ua# *e"as "e#+eluruh

    (e(hawa&ira# %a# (e*e"asa# $erle$iha# &e#&a#'(e(hawa&ira# %a# (e*e"asa# $erle$iha# &e#&a#'

    (eha"ila# %a# (o"li(asi (eha"ila# 2 'a"$ara# (li#i( %a#(eha"ila# %a# (o"li(asi (eha"ila# 2 'a"$ara# (li#i( %a#(ri&eria %ia'#os&i((ri&eria %ia'#os&i(  liha& PPDGJ III3liha& PPDGJ III3

      $. 'a#''ua# a#i($. 'a#''ua# a#i(

      (e*e"asa# +a#' "e"u#*a( $e$eraa saa&! &er1a%i(e*e"asa# +a#' "e"u#*a( $e$eraa saa&! &er1a%i"e#%a%a( %a# $erula#' &a#a &er%u'a"e#%a%a( %a# $erula#' &a#a &er%u'a

      I#si%e#s 4/ @ 8 oulasiI#si%e#s 4/ @ 8 oulasi

      Wa(&u sera#'a# a#i(Wa(&u sera#'a# a#i(  1a#&u#' $er%e$ar (ua&! sesa( 1a#&u#' $er%e$ar (ua&! sesa(#a9as! (a(i %a# &a#'a# %i#'i#! &erasa "au "a&i a&au i#'sa##a9as! (a(i %a# &a#'a# %i#'i#! &erasa "au "a&i a&au i#'sa#2'a"$ara# (li#i( %a# (ri&eria %ia'#os&i(2'a"$ara# (li#i( %a# (ri&eria %ia'#os&i(  liha& PPDGJ III3liha& PPDGJ III3

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    *. Ga#''ua# o$sesi9/(o"ulsi9 *. Ga#''ua# o$sesi9/(o"ulsi9 

      O$sesi9O$sesi9  a(saa# "e#'ula#'/ula#' sua&u i(ira#!a(saa# "e#'ula#'/ula#' sua&u i(ira#!$ila &i%a( %iula#' &i"$ul erasaa# *e"as 2a#sie&as3$ila &i%a( %iula#' &i"$ul erasaa# *e"as 2a#sie&as3

      Ko"ulsi9Ko"ulsi9  a(saa# "e#'ula#'/ula#' sua&ua(saa# "e#'ula#'/ula#' sua&u

    er$ua&a#! $ila &i%a( %iula#' &i"$ul erasaa# *e"aser$ua&a#! $ila &i%a( %iula#' &i"$ul erasaa# *e"as2a#sie&as32a#sie&as3

      Seri#'#+a &e%aa& i(ira# o$sesi9 a(a# %ii(u&iSeri#'#+a &e%aa& i(ira# o$sesi9 a(a# %ii(u&ier$ua&a# (o"ulsi9 2o$sesi9/(o"ulsi93er$ua&a# (o"ulsi9 2o$sesi9/(o"ulsi93

      O$sesi9/(o"ulsi9 %aa& $erua "e#*u*i &a#'a#!O$sesi9/(o"ulsi9 %aa& $erua "e#*u*i &a#'a#!"a#%i! "e#'u#*i i#&u! "e#*a$u& ra"$u& %s$"a#%i! "e#'u#*i i#&u! "e#*a$u& ra"$u& %s$

      >e$eraa laora# "e#+e$u&(a# $ahwa (eha"ila#>e$eraa laora# "e#+e$u&(a# $ahwa (eha"ila#a%alah e#*e&us 'a#''ua# o$sesi9/(o"ulsi9 a%alah e#*e&us 'a#''ua# o$sesi9/(o"ulsi9 

      I#si%e#s @ 6 ? 8 oulasiI#si%e#s @ 6 ? 8 oulasi

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    Pe#a&ala(sa#aa#Pe#a&ala(sa#aa#

    / Psi(o&erai/ Psi(o&erai

      %is(usi &e#&a#' i(ira# %a# erasaa# +a#'%is(usi &e#&a#' i(ira# %a# erasaa# +a#'"e#''a#''u a(a# "e#'ura#'i (e*e"asa#"e#''a#''u a(a# "e#'ura#'i (e*e"asa#

      Wa#i&a ha"il %e#'a# o$sesi9/(o"ulsi9Wa#i&a ha"il %e#'a# o$sesi9/(o"ulsi9  o$sesio$sesi"e#e&a %a# (e*e"asa# &i%a( %aa& %i&olerir"e#e&a %a# (e*e"asa# &i%a( %aa& %i&olerir  erlu rawa& i#aerlu rawa& i#a

    / ela(sasi/ ela(sasi

      La&iha# rea(sasi o&o& se*ara $er&aha :La&iha# rea(sasi o&o& se*ara $er&aha :

      / 0isual i"a'er+/ 0isual i"a'er+

      / la&iha# (o'#i&i9 / la&iha# (o'#i&i9 

      / la&iha# $io9ee%$a*(/ la&iha# $io9ee%$a*(

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      / O$a& a#&i *e"as 2a#&i a#sie&as3/ O$a& a#&i *e"as 2a#&i a#sie&as3

      O$a& a#&i *e"as $erua %eri0a& $e#zo%iazei# 2%iazea"!O$a& a#&i *e"as $erua %eri0a& $e#zo%iazei# 2%iazea"!(lo$aza"! alrazola" %s$3 %a# #o# $e#zo%iazei# 2$usiro#(lo$aza"! alrazola" %s$3 %a# #o# $e#zo%iazei# 2$usiro#%s$3%s$3

      Pe"$eria# a#&i *e"as se$ai(#+a %ihi#%ari a%a &ri"es&er IPe"$eria# a#&i *e"as se$ai(#+a %ihi#%ari a%a &ri"es&er I

      >ila (e*e"asa# he$a& %a# sa#'a& "e#''a#''u %aa&>ila (e*e"asa# he$a& %a# sa#'a& "e#''a#''u %aa&%i$eri(a# a#&i *e"as 2$#zo%iazei# a&au #o# $e#zo%iazei#3%i$eri(a# a#&i *e"as 2$#zo%iazei# a&au #o# $e#zo%iazei#3

      >ila a#i( %aa& %i$eri(a# alrazola" %osis "i#i"al>ila a#i( %aa& %i$eri(a# alrazola" %osis "i#i"al

      Wa#i&a ha"il +a#' "e#%aa& $e#zo%iazei# $a+i#+a a(a#Wa#i&a ha"il +a#' "e#%aa& $e#zo%iazei# $a+i#+a a(a#"e"$eri(a# @ &ie rea(si &o(si( :"e"$eri(a# @ &ie rea(si &o(si( : foppy inant foppy inant  2hio&o#i!2hio&o#i!le&ar'i! suli& "e#'isa! sia#osis %a# hio&er"i3 %a#le&ar'i! suli& "e#'isa! sia#osis %a# hio&er"i3 %a# reaksireaksiwithdrawalwithdrawal 2@/C 1a" se&elah $a+i lahir &er1a%i : &re"or! iri&a$el!2@/C 1a" se&elah $a+i lahir &er1a%i : &re"or! iri&a$el!

    hier&o#ia %a# se"a#'a& "e#'isa3. Ge1ala wi&h%rawal %ia&asihier&o#ia %a# se"a#'a& "e#'isa3. Ge1ala wi&h%rawal %ia&asi%e#'a# e"$eria# 9e#o$ar$i&al sela"a C "i#''u%e#'a# e"$eria# 9e#o$ar$i&al sela"a C "i#''u

    2Da"a( o$a&/o$a& $e#zo%iazei#! #o# $e#zo%iazei#! a#&i2Da"a( o$a&/o$a& $e#zo%iazei#! #o# $e#zo%iazei#! a#&i%eresa# %a# a#&i si(o&i( &erha%a (eha"ila# A! >! B! D %a# %eresa# %a# a#&i si(o&i( &erha%a (eha"ila# A! >! B! D %a#  liha& MIMS a&au I#%o#esia IIMS3liha& MIMS a&au I#%o#esia IIMS3

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    @. GANGGUAN AEK)I@. GANGGUAN AEK)I

      'a#''ua# u&a"a &er%aa& a%a "oo%'a#''ua# u&a"a &er%aa& a%a "oo%2a9e(32a9e(3  hier&i" 2"a#i(3 a&au hio&i"hier&i" 2"a#i(3 a&au hio&i"2%eresi32%eresi3

      a. Deresi Ma+ora. Deresi Ma+or

      / "oo% %is9ori( 2&i%a( "e#+e#a#'(a#3/ "oo% %is9ori( 2&i%a( "e#+e#a#'(a#3

      / i#so"#ia a&au hierso"#ia/ i#so"#ia a&au hierso"#ia

      / le&ih a&au &i%a( $er&e#a'a/ le&ih a&au &i%a( $er&e#a'a

      / #a9su "a(a# $er(ura#'/ #a9su "a(a# $er(ura#'  >> "e#uru#>> "e#uru#

      / i%ei(ira# u&us asa a&au $u#uh %iri/ i%ei(ira# u&us asa a&au $u#uh %iri

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      $. Ga#''ua# >ioler$. Ga#''ua# >ioler

      )er%aa& eiso%e "a#i( &a#aa&au %e#'a# eiso%e )er%aa& eiso%e "a#i( &a#aa&au %e#'a# eiso%e%eresi9 %eresi9 

      Sela"a eiso%e "a#i( :Sela"a eiso%e "a#i( :

      / "oo% hier&i" 2eu9oria! e(sal&asi! e(&ase a&au "a#ia(al3/ "oo% hier&i" 2eu9oria! e(sal&asi! e(&ase a&au "a#ia(al3

      / hiera(&i,&as/ hiera(&i,&as  / $i*ara $a#+a( %a# su(ar u#&u( %i s&o/ $i*ara $a#+a( %a# su(ar u#&u( %i s&o

      / har'a %iri "ela"$u#'/ har'a %iri "ela"$u#'

      / (esu(ara# $er(o#se#&rasi/ (esu(ara# $er(o#se#&rasi

      / &i%ur (ura#' 2i#so"#ia3/ &i%ur (ura#' 2i#so"#ia3

      / i%ei(ira# (e$esara# 2"e'alo"a#3/ i%ei(ira# (e$esara# 2"e'alo"a#3 

    2'a"$ara# (li#i( %a# (ri&eria %ia'#os&i( Ga#''ua# A9e(&i92'a"$ara# (li#i( %a# (ri&eria %ia'#os&i( Ga#''ua# A9e(&i9 liha& PPDGJ III3liha& PPDGJ III3

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    Pe#a&ala(sa#aa#Pe#a&ala(sa#aa#

    / ere#*a#aa# (eha"ila# sa#'a& e#&i#' a%a wa#i&a/ ere#*a#aa# (eha"ila# sa#'a& e#&i#' a%a wa#i&a%e#'a# %ia'#osa Ga#''ua# Deresi %a# Ma#ia(al%e#'a# %ia'#osa Ga#''ua# Deresi %a# Ma#ia(al

    / Perlu (o#sul&asi %o(&er (a#%u#'a# %a# si(ia&er/ Perlu (o#sul&asi %o(&er (a#%u#'a# %a# si(ia&er

    &e#&a#' resi(o %a# (eu#&u#'a# e"a(aia#&e#&a#' resi(o %a# (eu#&u#'a# e"a(aia#si(&roi(asi(&roi(a

    / awa& i#a se$ai(#+a %ii(ir(a# se$a'ai e#''a#&i/ awa& i#a se$ai(#+a %ii(ir(a# se$a'ai e#''a#&ie#'o$a&a# si(o9ar"a(a +a#' harus %ihe#&i(a#e#'o$a&a# si(o9ar"a(a +a#' harus %ihe#&i(a#a%a &ri"es&er I (eha"ila# +a#' &i%a( %ire#*a#a(a#a%a &ri"es&er I (eha"ila# +a#' &i%a( %ire#*a#a(a#

    / Pe#''u#aa#/ Pe#''u#aa# tricyclic antidepressant tricyclic antidepressant  ha#+a a%aha#+a a%a(eha"ila# %e#'a# %eresi $era& %e#'a# 'e1ala(eha"ila# %e#'a# %eresi $era& %e#'a# 'e1ala0e'e&a&i9 %a# %eresi! seer&i : "e#a#'is! i#so"#ia!0e'e&a&i9 %a# %eresi! seer&i : "e#a#'is! i#so"#ia!'a#''ua# #a9su "a(a#! %a# i%e/i%e $u#uh %iri'a#''ua# #a9su "a(a#! %a# i%e/i%e $u#uh %iri

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      / Psi(o&erai %i$eri(a# $ila a%a (o#-i( i#&rasi(is +a#'/ Psi(o&erai %i$eri(a# $ila a%a (o#-i( i#&rasi(is +a#'$erhu$u#'a# %e#'a# (eha"ila#$erhu$u#'a# %e#'a# (eha"ila#

      / )erai Perila(u Ko'#i&i9 sa#'a& "e#olo#' asie#/ )erai Perila(u Ko'#i&i9 sa#'a& "e#olo#' asie#%eresi %a# %aa& %i'u#a(a# $ersa"a a#&i %eresa#%eresi %a# %aa& %i'u#a(a# $ersa"a a#&i %eresa#

      / Ele*&ro Bo#0ulsi0e )hera+ 2EB)3 %i'u#a(a# a%a/ Ele*&ro Bo#0ulsi0e )hera+ 2EB)3 %i'u#a(a# a%aasie# %eresi si(o&i( u#&u( "e#%aa& reso#asie# %eresi si(o&i( u#&u( "e#%aa& reso#&erai +a#' *ea&! $ila (ehi%ua# i$u %a# a#a(&erai +a#' *ea&! $ila (ehi%ua# i$u %a# a#a(&era#*a"&era#*a"

      / SSIs 2Sele*&i0e Sero&o#i# eu&a(e I#hi$i&ors3/ SSIs 2Sele*&i0e Sero&o#i# eu&a(e I#hi$i&ors3

    a%alah a#&i %eresa# iliha# u#&u( wa#i&a ha"ila%alah a#&i %eresa# iliha# u#&u( wa#i&a ha"il2-uoe&i#e %a# ser&rali#3 (are#a &i%a( "e#+e$a$(a#2-uoe&i#e %a# ser&rali#3 (are#a &i%a( "e#+e$a$(a#hio&e#si or&os&a&i(! (o#s&iasi %a# se%asihio&e#si or&os&a&i(! (o#s&iasi %a# se%asi

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    ?. SKIFOENIA?. SKIFOENIA

      Pa%a S(izo9re#ia &er1a%i 'a#''ua# i(ira#!Pa%a S(izo9re#ia &er1a%i 'a#''ua# i(ira#!ersesi 2halusi#asi3! waha" 2(e$esara#!ersesi 2halusi#asi3! waha" 2(e$esara#!

    (e1ara#! $izarre %s$3! asosiasi lo#''ar a&au(e1ara#! $izarre %s$3! asosiasi lo#''ar a&aui#(ohere#si. )i%a( 1ara#' 'a#''ua#i#(ohere#si. )i%a( 1ara#' 'a#''ua#S(izo9re#ia %iser&ai 'a#''ua# "oo% 2a9e(3S(izo9re#ia %iser&ai 'a#''ua# "oo% 2a9e(3 'a#''ua# s(izo/a9e(&i9 'a#''ua# s(izo/a9e(&i9 

      >ila wa#i&a %e#'a# S(izo9re#ia "e#'ala"i>ila wa#i&a %e#'a# S(izo9re#ia "e#'ala"i(eha"ila# a(a# $a#+a( &i"$ul (o"li(asi(eha"ila# a(a# $a#+a( &i"$ul (o"li(asio$s&e&ri( %a# $a+i#+a a(a# "e#'ala"io$s&e&ri( %a# $a+i#+a a(a# "e#'ala"i>>L>>L

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      Pe#a&ala(sa#aa#Pe#a&ala(sa#aa#

      / Pasie# S(izo9re#ia s&a% re"isi $ila "e#'ala"i/ Pasie# S(izo9re#ia s&a% re"isi $ila "e#'ala"i(eha"ila#! 1a#'a# s&o o$a& a#&isi(o&i(.(eha"ila#! 1a#'a# s&o o$a& a#&isi(o&i(.Pe#'he#&ia# o$a& se'era a(a# "e#+e$a$(a# relasPe#'he#&ia# o$a& se'era a(a# "e#+e$a$(a# relas

    a(u&a(u&  / Pasie# harus %irawa& %i S $ila rawa& 1ala# &i%a(/ Pasie# harus %irawa& %i S $ila rawa& 1ala# &i%a(

    "e"u#'(i#(a#"e"u#'(i#(a#

      / Pe#eli&a# "elaor(a# asie# S(izo9re#ia %e#'a#/ Pe#eli&a# "elaor(a# asie# S(izo9re#ia %e#'a#(eha"ila# "e#''u#a(a# o$a& a#&isi(o&i( &i%a((eha"ila# "e#''u#a(a# o$a& a#&isi(o&i( &i%a(

    "e#+e$a$(a# (elai#a# a%a (elahira# 1a#i#! #a"u#"e#+e$a$(a# (elai#a# a%a (elahira# 1a#i#! #a"u#se$ai(#+a %ihi#%ari e#''u#aa##+a a%a &ri"es&er Ise$ai(#+a %ihi#%ari e#''u#aa##+a a%a &ri"es&er I

      / Pa%a (asus a(u& %a# "e"$aha+a(a# i$u %a# 1a#i#/ Pa%a (asus a(u& %a# "e"$aha+a(a# i$u %a# 1a#i#%aa& %ila(u(a# EB)%aa& %ila(u(a# EB)

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    INDIKASI A>OSI PADAINDIKASI A>OSI PADA

    GANGGUAN JIWAGANGGUAN JIWA

    I#%i(asi a$orsi a%a wa#i&a ha"il a%alah $ila &i#%a(a#I#%i(asi a$orsi a%a wa#i&a ha"il a%alah $ila &i#%a(a#&erse$u& se$a'ai &erai %a# sa&u/sa&u#+a 1ala# u#&u(&erse$u& se$a'ai &erai %a# sa&u/sa&u#+a 1ala# u#&u("e#olo#' 1iwa %a# (eseha&a# i$u +a#' $e#ar/$e#ar"e#olo#' 1iwa %a# (eseha&a# i$u +a#' $e#ar/$e#ar%aa& %ier&a#''u#' 1awa$(a#! +ai&u Ga#''ua# 1iwa%aa& %ier&a#''u#' 1awa$(a#! +ai&u Ga#''ua# 1iwa+a#' %iser&ai (e*e#%ru#'a# $u#uh %iri+a#' %iser&ai (e*e#%ru#'a# $u#uh %iri

    Se$elu" "ela(u(a# &i#%a(a# a$orsi erlu (o#sul&asiSe$elu" "ela(u(a# &i#%a(a# a$orsi erlu (o#sul&asi%o(&er (a#%u#'a# %a# si(ia&er ser&a "i#&a%o(&er (a#%u#'a# %a# si(ia&er ser&a "i#&aer&i"$a#'a# &i" ahli 2ahli "e%is lai#! ahli a'a"a!er&i"$a#'a# &i" ahli 2ahli "e%is lai#! ahli a'a"a!ahli hu(u" %a# ahli si(olo'i3ahli hu(u" %a# ahli si(olo'i3

    A$orsi harus "e#%aa& erse&u1ua# &er&ulis %ariA$orsi harus "e#%aa& erse&u1ua# &er&ulis %ari

    e#%eri&asua"i(eluar'a &er%e(a&e#%eri&asua"i(eluar'a &er%e(a& Di I#%o#esia! a$orsi %ilara#' %e#'a# i#%i(asi e(o#o"i!Di I#%o#esia! a$orsi %ilara#' %e#'a# i#%i(asi e(o#o"i!a(i$a& er(osaa# a&au hu$u#'a# %iluar #i(ah %a#a(i$a& er(osaa# a&au hu$u#'a# %iluar #i(ah %a#(hawa&ir a%a#+a e#+a(i& &uru#a# %a# 1a#i# *a*a&(hawa&ir a%a#+a e#+a(i& &uru#a# %a# 1a#i# *a*a&

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    GANGGUAN JIWAGANGGUAN JIWA POST PARTUMPOST PARTUM

     / Ga#''ua# 1iwa +a#' (has os& ar&u" a%alah Deresi >era&!/ Ga#''ua# 1iwa +a#' (has os& ar&u" a%alah Deresi >era&!

    Ga#''ua# Ma#ia(al! Ba"ura# Deresi >era& %a# Ma#ia(alGa#''ua# Ma#ia(al! Ba"ura# Deresi >era& %a# Ma#ia(ala&au Ga#''ua# Psi(osis Si#'(a& 2>rie9 Ps+*hosis Disor%ers3!a&au Ga#''ua# Psi(osis Si#'(a& 2>rie9 Ps+*hosis Disor%ers3!+a#' &er1a%i %ala" (uru# wa(&u "i#''u se&elah ersali#a#+a#' &er1a%i %ala" (uru# wa(&u "i#''u se&elah ersali#a#

     / Ma#i9es&asi#+a &i%a( $er$e%a %e#'a# Deresi >era&! Ga#''ua#/ Ma#i9es&asi#+a &i%a( $er$e%a %e#'a# Deresi >era&! Ga#''ua#Ma#ia(al! Ba"ura# Ga#''ua# Deresi >era& %a# Ma#ia(alMa#ia(al! Ba"ura# Ga#''ua# Deresi >era& %a# Ma#ia(al

     / >ila a%a waha" seri#' $er(e#aa# %e#'a# $a+i! seer&i : $a+i/ >ila a%a waha" seri#' $er(e#aa# %e#'a# $a+i! seer&i : $a+i$erisi s+e&a#! "e"ili(i (e(ua&a# is&i"ewa %s$$erisi s+e&a#! "e"ili(i (e(ua&a# is&i"ewa %s$

     / Ga"$ara# (li#i( lai# %aa& $erua i%e/i%e $u#uh %iri! i(ira#/ Ga"$ara# (li#i( lai# %aa& $erua i%e/i%e $u#uh %iri! i(ira#o$sesi! 'a#''ua# (o#se#&rasi! a'i&asi si(o"o&or! &i%a(o$sesi! 'a#''ua# (o#se#&rasi! a'i&asi si(o"o&or! &i%a(erha&ia# %a# &i#%a( (e(erasa# a%a $a+i! i#so"#ia %s$erha&ia# %a# &i#%a( (e(erasa# a%a $a+i! i#so"#ia %s$

     / I#9a#&isi% %i(ai&(a# %e#'a# a%a#+a halusi#asi +a#'/ I#9a#&isi% %i(ai&(a# %e#'a# a%a#+a halusi#asi +a#'"e#'(o"a#%o "e"$u#uh a#a(#+a a&au (e+a(i#a# a#a(#+a"e#'(o"a#%o "e"$u#uh a#a(#+a a&au (e+a(i#a# a#a(#+a"e'a#%u#' sesua&u +a#' &i%a( $ai("e'a#%u#' sesua&u +a#' &i%a( $ai(

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     / Ke1a%ia# si(osis/ Ke1a%ia# si(osis post partum post partum! a%alah 4! a%alah 4%ala" 755 6 4555 (elahira#! %a# le$ih%ala" 755 6 4555 (elahira#! %a# le$ihseri#' a%a ri"iaraseri#' a%a ri"iara

    / Se(ali wa#i&a "e#'ala"i si(osis/ Se(ali wa#i&a "e#'ala"i si(osis post post

     partum partum! "a(a resi(o u#&u( $erula#' a%a! "a(a resi(o u#&u( $erula#' a%a(eha"ila# $eri(u+a a#&ara ?5 6 75 8(eha"ila# $eri(u+a a#&ara ?5 6 75 8

     / )erai :/ )erai :

      / A#&isi(o&i( a#&i %eresa# a&au a#&i/ A#&isi(o&i( a#&i %eresa# a&au a#&i

    "a#ia(al! &er'a#&u#' 1e#is 'a#''ua##+a"a#ia(al! &er'a#&u#' 1e#is 'a#''ua##+a2ela1ari o$a&/o$a& si(o&roi(a32ela1ari o$a&/o$a& si(o&roi(a3

      / Se$ai(#+a i$u &i%a( "e#+usu(a# a#a(#+a/ Se$ai(#+a i$u &i%a( "e#+usu(a# a#a(#+a

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    &eri"a (asih&eri"a (asih