Penyakit Dekompresi Tipe II pada Penyelam Rekreasi: Sebuah Laporan Kasus dan Penanganan dengan Terapi Oksigen Hiperbarik

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Authors

  • Anita Devi Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya
  • Arif Rahman Nurdianto https://calvaria.fk.uwks.ac.id/index.php/calvaria/about
  • Achmad Nurdin Himawan Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya
  • Anis Dwi Anita Rini Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya
  • Hisnindarsyah Hisnindarsyah Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya
  • Titut Harnanik Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya
  • Djatiwidodo Edi Pratiknya Program Pendidikan Dokter Spesialis Kedokteran Kelautan, Fakultas Kedokteran, Universitas Hang Tuah Surabaya

DOI:

https://doi.org/10.30742/cmj.v3i1.191

Keywords:

Dekompresi, Penyelam Rekreasi, Penyakit Dekompresi Tipe II, Terapi Oksigen Hiperbarik

Abstract

Latar Belakang: Menyelam SCUBA adalah rekreasi populer namun berisiko, salah satunya adalah Penyakit Dekompresi (DCS) yang disebabkan pembentukan gelembung gas inert akibat penurunan tekanan lingkungan. DCS dapat bermanifestasi ringan hingga berat, termasuk gejala neurologis. Penanganan cepat sangat penting. Tujuan: Melaporkan kasus Penyakit Dekompresi Tipe II pada penyelam rekreasi dan penanganannya dengan Terapi Oksigen Hiperbarik (TOHB). Presentasi Kasus: Dilaporkan kasus laki-laki 70 tahun dengan gejala pusing berputar, vertigo, gangguan keseimbangan, mual, muntah, parestesia, dan nyeri sendi setelah dua kali penyelaman. Pemeriksaan fisik menunjukkan Romberg test positif. Manajemen awal dengan oksigen normobarik dan obat simptomatik hanya memberikan sedikit perbaikan. Hasil: Pasien menjalani dua sesi TOHB (menggunakan Tabel 6 dan Tabel 5 US Navy). Setelah terapi, gejala pasien membaik signifikan, termasuk hilangnya pusing, mual, muntah, parestesia, dan nyeri sendi. Romberg test kembali negatif. Kesimpulan: Terapi Oksigen Hiperbarik adalah terapi standar emas yang efektif dalam meredakan gejala Penyakit Dekompresi Tipe II pada penyelam rekreasi.

References

Al-Waili, N. S., & Butler, G. J. (2006). Effects of hyperbaric oxygen on inflammatory response to wound and trauma: possible mechanism of action. TheScientificWorldJournal, 6, 425–441. https://doi.org/10.1100/tsw.2006.78

Arif Rahman Nurdianto, Aryati, Mohammad Guritno Suryokusumo, M. (2019). Hang tuah medical journal. Downregulates of ICAM1 Expression in Myometrium from Pregnant Rattus Norvegicus Infected with Tachyzoite of Toxoplasma Gondii with Hyperbaric Oxygen Therapy, 17, 77–83. http://dx.doi.org/10.30742/jikw.v9i1.730

Balestra, C. (1990). 2.1_Balestra Haldane 2009.pdf. DCI, 1–12.

Bennett, Michael, Brusasco, E., & Ghanem, A. (2006). How to treat : Decompression Illness. Rural Doctor, March, 1–4.

Bennett, Mike, Richardson, K., Bowen, S., Smart, D., Smart, D., Hawkins, G., Goble, S., Sharp, F., & Bryson, P. (1995). Diving and hyperbaric medicine abstracts. In Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc (Vol. 22, Issue 1).

Chevasutho, P., Premmaneesakul, H., & Sujiratana, A. (2022). Descriptive study of decompression illness in a hyperbaric medicine centre in Bangkok, Thailand from 2015 to 2021. Diving and Hyperbaric Medicine, 52(4), 277–280. https://doi.org/10.28920/dhm52.4.277-280

Commander NSSC, M. U. N. D. (2017). US Navy Diving Manual Rev. 7 Commander NSSC, Manual US Navy Diving. Journal of Traumatic Stress, 2(56), 991. https://www.navsea.navy.mil/Portals/103/Documents/SUPSALV/Diving/US DIVING MANUAL_REV7.pdf

Denoble, P., Bird, N., & Chimiak, J. (2019). Treatment of Decompression Illness in Recreational Diving :

Edmonds, C. (2013). Diving Medicine For Scuba Divers. In Carl Edmonds, Australia: Vol. 5th Editio (Issue 1). http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0A

Gill, A. L., & Bell, C. N. (2004). Hyperbaric oxygen: Its uses, mechanisms of action and outcomes. QJM - Monthly Journal of the Association of Physicians, 97(7), 385–395. https://doi.org/10.1093/qjmed/hch074

Hardy, K. R. (1997). Diving-related Emergencies. 15(1), 223–240.

Indah, C. T. L., Arimbawa, I. K., Widyantara, I. W., Laksmidewi, A. A. P., Putra, I. B. K., & Devi, A. (2023). Characteristics of patients with decompression illness at the hyperbaric polyclinic of Prof IGNG Ngoerah General Hospital Bali before the COVID-19 pandemic. International Journal of Health & Medical Sciences, 6(3), 173–179. https://doi.org/10.21744/ijhms.v6n3.2187

Jamharee, F., Yazid, A., Noh, M., Hairulnizam, T., Kamauzaman, T., Abdullah, A., & Nor, J. (2016). a Descriptive Study of Decompression Illness Among Scuba Divers Treated With Hyperbaric Oxygen Therapy At a Military Hospital-Based Recompression Facility in Peninsular Malaysia. Malaysian Journal of Emergency Medicine, 1(1), 11–23. https://www.m-jem.com/index.php/mjem/article/view/3%0Ahttps://www.m-jem.com

Liow, M. H. L., Chong, S. J., & Kang, W. L. (2009). A tale of three divers: Recompression therapy for divers with severe Type II decompression sickness with neurological deficits. Singapore Medical Journal, 50(5), 173–175.

Moon, R. E., & Mitchell, S. (2019). Hyperbaric treatment for decompression sickness: current recommendations. Undersea and Hyperbaric Medicine, 46(5), 685–693. https://doi.org/10.22462/10.12.2019.14

Moon, R. E., & Mitchell, S. J. (2021). Hyperbaric oxygen for decompression sickness: 2021 update. Undersea and Hyperbaric Medicine, 48(2), 195–203. https://doi.org/10.22462/03.04.2021.11

Nurdianto, A. R., Aryati, A., Suryokusumo, M. G., & Mufasirin, M. (2019a). Elevation of Bcl2 expression in artery spiralis of pregnant Rattus norvegicus infected with Tachyzoite of Toxoplasma gondii with hyperbaric oxygen therapy. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 3(2), 157. https://doi.org/10.30651/jqm.v3i2.2706

Nurdianto, A.R., Aryati, A., Surtokusumo, M.G., & Mufasirin, M. (2019). Downregulates of ICAM1 expression in Myometrium from pregnant Rattus novergicus infected with Tachyzoite of Toxoplasma gondii with Hyperbaric Oxygen Therapy. Hang Tuah Medical Journal, 17(1), 77. https://doi.org/10.30649/htmj.v17i1.200

Nurdianto, A. R., Aryati, A., Suryokusumo, M. G., Mufasirin, M., Suwanti, L. T., Sunarjo, Sardjono, T. W., & Dachlan, E. G. (2020). Effects of hyperbaric oxygen therapy on IL-17, fetal body weight and total fetus in pregnant Rattus norvegicus infected with tachyzoite Toxoplasma gondii. Systematic Reviews in Pharmacy, 11(3), 628–634. https://doi.org/10.31838/srp.2020.3.84

Nurdianto, A. R., Aryati, Suryokusumo, M. G., & Mufasirin. (2019b). Effect of hyperbaric oxygen therapy to IFN gamma and TNF alpha expression in pregnant Rattus novergicus infected with Tachyzoite of Toxoplasma gondii. Bali Medical Journal, 8(1), 94–100. https://doi.org/10.15562/bmj.v8i1.1316

Nurdianto, A. R., Harnanik, T., & Setiawan, F. (2024). Pendekatan Hyperbaric Oxygen Therapy pada Pasien dengan Polycystic Ovary Syndrome Approach of Hyperbaric Oxygen Therapy in Patients with Polycystic Ovary Syndrome. 2(2), 166–175. https://doi.org/10.30742/cmj.v2i2.168

Nurdianto, A. R., Harnanik, T., & Setiawan, F. (2024). Pendekatan Hyperbaric Oxygen Therapy pada Pasien dengan Polycystic Ovary Syndrome. CALVARIA MEDICAL JOURNAL, 2(2), 166–175. https://doi.org/10.30742/cmj.v2i2.168

Pollock, N. (2020). HEALTH & DIVING REFERENCE SERIES decompression sickness decompression sickness divers alert network.

Risdall, J. E. (2016). Decompression illness. Ernsting’s Aviation and Space Medicine: Fifth Edition, 567–577. https://doi.org/10.1201/b13197-44

Sheffield, P. J., & Pirone, C. J. (n.d.). Decompression Sickness in Inside Attendants. Hyperbaric Facility Safety - a Practical Guide, 643–663.

Tetzlaff, K., & Muth, C. M. (2024). Physiological Challenges and Adaptations in Competitive Freediving. Deutsche Zeitschrift Fur Sportmedizin, 75(6), 207–215. https://doi.org/10.5960/dzsm.2024.613

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Published

2025-06-30

How to Cite

Devi, A., Nurdianto, A. R., Himawan, A. N., Rini, A. D. A., Hisnindarsyah, H., Harnanik, T., & Pratiknya, D. E. (2025). Penyakit Dekompresi Tipe II pada Penyelam Rekreasi: Sebuah Laporan Kasus dan Penanganan dengan Terapi Oksigen Hiperbarik: -. CALVARIA MEDICAL JOURNAL, 3(1), 115–129. https://doi.org/10.30742/cmj.v3i1.191

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Case Report