Pathophysiology SEVERE HEAD INJURY

Trauma to the head causes the skull and its contents shaking, the damage depends on the amount of vibration the greater the vibration the greater the damage incurred, the vibration of the collision will be forwarded to the Gauls Aponeurotika so much energy is absorbed by the protection of the brain, it causes the blood vessels so that it will rip causing an epidural haematoma, subdura or intracranial, hemorrhage will also affect the blood circulation to the brain to decrease and reduced oxygen supply and tissue hypoxia occur will cause cerebral edema. Akibat dari haematoma diatas akan menyebabkan distorsi pada otak, karena isi otak terdorong ke arah yang berlawanan yang berakibat pada kenaikan TIK (Tekanan Intrakranial) merangsang kelenjar Pitultary dan Steroid adrenal sehingga sekresi asam lambung meningkat akibatnya timbul rasa mual dan muntah dan anoreksia sehingga masukan nutrisi kurang. As a result of haematoma above will cause distortion of the brain, because brain content driven in the opposite direction which results in the increase in ICT (intracranial pressure) stimulates the adrenal gland Pitultary and steroids that increase gastric acid secretion arises as a result of nausea and vomiting and anorexia that less nutrient input .