anatomi pelvis dan dasar panggul
TRANSCRIPT
![Page 1: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/1.jpg)
![Page 2: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/2.jpg)
![Page 3: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/3.jpg)
![Page 4: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/4.jpg)
![Page 5: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/5.jpg)
![Page 6: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/6.jpg)
![Page 7: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/7.jpg)
![Page 8: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/8.jpg)
![Page 9: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/9.jpg)
![Page 10: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/10.jpg)
![Page 11: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/11.jpg)
![Page 12: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/12.jpg)
![Page 13: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/13.jpg)
![Page 14: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/14.jpg)
Mekanisme kontinensia anal
![Page 15: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/15.jpg)
• Kanalis anal ~ 4 cm• Kontinensia :
tek kanalis anal > tek rektum
• Tekanan kanalis anal ~ :– SAI– SAE– Levator ani (puborektalis)
![Page 16: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/16.jpg)
Tonus istirahat mempertahankan kontinensia pasif terhadap feses cair dan flatus :
•SAI ~ 50 – 85%
•SAE ~ 25 – 30%
•Anal chusion (hemoroid) ~ 15%
![Page 17: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/17.jpg)
Neurofisiologi anorektal
• SAI : kontrol saraf otonom ~ arkus refleks spinal cord– Simpatis dari L5 pleksus pelvikus pleksus hipogastrikus– Parasimpatis dari S2-4 pleksus pelvikus bersama simpatis
• SAE : nervus pudendus (S2-4) secara bilateral mll kanalis Alcock
• Levator ani : sacral roots S2-4 dan tidak mendapat persarafan langsung dari nervus pudendus
![Page 18: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/18.jpg)
Neurofisiologi anorektal
![Page 19: Anatomi Pelvis Dan Dasar Panggul](https://reader038.vdocuments.site/reader038/viewer/2022102422/552aa4324a79599f6d8b469c/html5/thumbnails/19.jpg)
Mekanisme kontinensia dan defekasi (Sultan and Nugent,2004)