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NUR ANISAHBAGIAN HISTOLOGI & BIOLOGI SEL,
FAKULTASKEDOKTERAN, UNIVERSITAS GADJAH MADA, YOGYAKARTA
Blok Sistem Reproduksi, 9 Feb 2010 [04]
SISTEM REPRODUKSI WANITA
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Sistem reproduksi wanita Sistem reproduksi wanita memilikimemilikienam fungsi utama:enam fungsi utama:
Menghasilkan gamet betina, yaitu ovum, Menghasilkan gamet betina, yaitu ovum, melalui proses oogenesismelalui proses oogenesis
Menerima gamet jantan, yaitu spermatozoaMenerima gamet jantan, yaitu spermatozoa Menyediakan lingkungan yang sesuai untuk Menyediakan lingkungan yang sesuai untuk
pembuahan ovum oleh spermatozoapembuahan ovum oleh spermatozoa Menyediakan lingkungan yang sesuai untuk Menyediakan lingkungan yang sesuai untuk
perkembangan janinperkembangan janin Merupakan alat untuk mengeluarkan janin Merupakan alat untuk mengeluarkan janin
matang ke lingkungan luarmatang ke lingkungan luar Nutrisi untuk bayi baru lahirNutrisi untuk bayi baru lahir
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GAMBARAN UMUM GAMBARAN UMUM SISTEM REPRODUKSI WANITASISTEM REPRODUKSI WANITA
█ █ KOMPONEN SISTEMKOMPONEN SISTEM
■ ■ Ovarium (indung telur)Ovarium (indung telur)
■ ■ Tuba uterina (tuba Tuba uterina (tuba Falopii/oviduct)Falopii/oviduct)
■ ■ Uterus (rahim)Uterus (rahim)
■ ■ VaginaVagina
■ ■ Apparatus genitalia externaApparatus genitalia externa
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ORGANA GENITALIA ORGANA GENITALIA FEMININAFEMININA
ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA
ORGANA GENITALIA INTERNAORGANA GENITALIA INTERNA
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Organa genitalia femininaOrgana genitalia femininainterna dan externainterna dan externa
Ø lateral organa genitalia feminina
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Figure . Internal organs of the female reproductive system.
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1. Ovarium
● Organ ini merupakan gonade ● Tersusun oleh: - folikel-folikel → perkembangan telur (ovum) - setelah folikel masak, ovum
dilepaskan, sedangkan folikel yg tertinggal membentuk → corpus luteum: memproduksi hormon estrogen &
progesteron
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Figure 23—2. Ovary of a woman of reproductive age showing its main components: germinal epithelium, tunica albuginea, cortical region, and medullary region.
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Figure. Photomicrograph of part of an ovary showing the cortical and medullary regions. H&E stain. Low magnification.
Ovary human, H&E
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Folliculus ovariiFolliculus ovarii1.1. Folliculus primordialisFolliculus primordialis2.2. Pertumbuhan follikel:Pertumbuhan follikel: a. Folliculi primarius:a. Folliculi primarius: i. Folliculus primarius unilaminariusi. Folliculus primarius unilaminarius ii. Folliculus multilaminariusii. Folliculus multilaminarius b. Folliculus secundariusb. Folliculus secundarius3.3. Folliculus maturus = folliculus de GraafFolliculus maturus = folliculus de Graaf4.4. Folliculus atreticusFolliculus atreticus
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Fig. Types of ovarian follicles, from primordial to mature. The relative proportions of the follicles are not maintained in this drawing.
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Perkembangan folikel
Folliculus ovariiEpitelCortex
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Figure 23—6. Cortical region of an ovary. Besides primordial follicles formed by an oocyte and flat follicular cells, a few follicles at the initial stage of growth (unilaminar primary follicles) are present. These are formed by an oocyte and one layer of cuboidal granulosa cells. Pararosaniline—toluidine blue (PT) stain. Low magnification.
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Figure 23—7. Photomicrograph of a preantral ovarian follicle formed by an oocyte and several layers of granulosa cells. The oocyte is surrounded by the zona pellucida. Picrosirius-hematoxylin (PSH) stain. Medium magnification.
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Folliculussecundarius Folliculus de Graaf
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Figure 23—9. Photomicrograph of part of an antral follicle. Cavities (A) that appear in the granulosa layer will fuse and form one large cavity, the antrum. The oocyte is surrounded by the zona pellucida. Granulosa cells (G) surround the oocyte and cover the wall of the follicle. A theca can be seen around the follicle. H&E. Medium magnification.
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Figure 23—10. Photomicrograph of an antral follicle showing the oocyte surrounded by the granulosa cells of the corona radiata and supported by the cells of the cumulus oophorus. The remaining granulosa cells form the wall of the follicle and surround the large antrum. A theca surrounds the whole follicle. PT stain. Medium magnification.
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Figure 23—11. Photomicrograph of a small part of the wall of an antral follicle, showing the antrum, the layer of granulosa cells, and the thecas. The theca interna surrounds the follicle, and its cells appear lightly stained because their cytoplasm contains lipid droplets, a characteristic of steroid-producing cells. The theca interna is surrounded by the theca externa, which merges with the stroma of the ovary. A basement membrane separates the granulosa layer from the theca interna. PT stain. High magnification.
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Figure 23—12. Photomicrograph of the atresia of a follicle characterized by: (1) the death of granulosa cells, many of which are seen loose in the antrum; (2) loss of the cells of the corona radiata; and (3) the oocyte floating free within the antrum. PT stain. Medium magnification.
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Figure 23—13. Part of a corpus luteum. Granulosa lutein cells, which constitute the majority of the cells, derive from the granulosa layer. They are larger and stain more lightly than the theca lutein cells, which originate from the theca interna.
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Figure 23—14. Photomicrograph of a small portion of a corpus luteum. Most cells present in the figure are granulosa lutein cells. PT stain. High magnification.
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Figure 23—15. Pituitary hormones control most ovarian functions. Follicle-stimulating hormone (FSH) stimulates follicular growth and synthesis of estrogen by the granulosa cells.
- Luteinizing hormone (LH) induces ovulation and transforms the granulosa layer and the theca interna into an actively secreting gland, the corpus luteum.
- Estrogen and progesterone produced in the ovary act on the hypothalamus, stimulating or inhibiting the liberation of gonadotropin-releasing hormone (GnRH).
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Figure 23—16. Corpus albicans, the scar of connective tissue that replaces a corpus luteum after its involution.
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Corpus luteum
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Corpus albicans
mrpk massa jar. fibrosa tidak aktif
Gamb. utama ovarium manusia, jumlahnya meningkat dng usia, sering tampak menempati hampir seluruh jar. stroma ovarium
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2. Tuba uterina (oviduct)2. Tuba uterina (oviduct)
Terdapat sepasang, panjang Terdapat sepasang, panjang ± 12 cm± 12 cm
Menjaring ovum yang telah lepasMenjaring ovum yang telah lepas
Sebagai tempat utama fertilisasiSebagai tempat utama fertilisasi
Membawa ovum ke uterus, baik yang Membawa ovum ke uterus, baik yang sudah mengalami fertilisasi maupun sudah mengalami fertilisasi maupun yang belum mengalami fertilisasi, yang belum mengalami fertilisasi, transportasi zygot ke uterustransportasi zygot ke uterus
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Bagian-bagian tuba uterinaBagian-bagian tuba uterina
Pars interstitialisPars interstitialis
IsthmusIsthmus
AmpullaAmpulla
Infundibulum, lanjutan lapisan Infundibulum, lanjutan lapisan mukosanya berbentuk seperti jari-jari mukosanya berbentuk seperti jari-jari → → fimbriaefimbriae
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Figure 23—17. Photomicrograph of part of the wall of an oviduct. The highly folded mucosa indicates that this region is close to the ovary. PT stain. Low magnification.
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Figure 23—18. Photomicrograph of the epithelial lining of an oviduct. The epithelial lining is formed by ciliated and more darkly staining nonciliated secretory cells. Ciliated cells contribute to the movement of the oocyte or conceptus to the uterus. PT stain. High magnification.
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Struktur dinding tuba uterinaStruktur dinding tuba uterina1. Tunika mukosa: Epithelium simplex columnare:1. Tunika mukosa: Epithelium simplex columnare: a. Kolumner bersiliaa. Kolumner bersilia b. “Peg cells” b. “Peg cells” → berukuran rendah, diantara → berukuran rendah, diantara sel-sel bersilia, mensekresi mukus: sel-sel bersilia, mensekresi mukus: - menolong transportasi ovum dan - menolong transportasi ovum dan menghalang-halangi masuknya bakteri menghalang-halangi masuknya bakteri ke cavum peritoniike cavum peritonii2. Tunika muskularis: lamina circularis internus dan 2. Tunika muskularis: lamina circularis internus dan
longitudinale externus → kontraksi otot ini longitudinale externus → kontraksi otot ini menggerakkan ovum menuju uterusmenggerakkan ovum menuju uterus
3. Tunika serosa3. Tunika serosa
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Tuba uterina (tuba Fallopii)Tuba uterina (tuba Fallopii)
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Ampula & ismus tuba uterina
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3. Uterus3. Uterus
Dilapisi oleh mukosa (endometrium) Dilapisi oleh mukosa (endometrium) yg mengalami perubahan-yg mengalami perubahan-perubahan struktur berkalaperubahan struktur berkala→ → dikendalikan oleh hormon ovariumdikendalikan oleh hormon ovarium
Berperan sebagai tempat implantasi Berperan sebagai tempat implantasi dan pemberian makanan ovum yg dan pemberian makanan ovum yg telah mengalami fertilisasitelah mengalami fertilisasi
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Bagian-bagian uterus:Bagian-bagian uterus:
Badan = body atau corpusBadan = body atau corpus
FundusFundus
Cervix atau leherCervix atau leher
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Struktur dinding uterus:Struktur dinding uterus:Fundus dan corpus disusun oleh 3 lapisan:Fundus dan corpus disusun oleh 3 lapisan:
- Myometrium: otot polos 4 lapis- Myometrium: otot polos 4 lapis - Endometrium: mukosa uterus t.d.: - Endometrium: mukosa uterus t.d.: selapis epitel kolumner, lamina propria, selapis epitel kolumner, lamina propria,
gld. tubuler simplex.gld. tubuler simplex. Endometrium : - stratum fungsionaleEndometrium : - stratum fungsionale - stratum basale- stratum basale - Tunika serosa atau adventitia: Jar. ikat- Tunika serosa atau adventitia: Jar. ikat
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Uterus
FundusTumor
otot /Leiomyoma
BodyEndocervixCervix
Ectocervix
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Tipe leiomyoma kecilTipe leiomyoma kecil
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EndoserviksEndoserviks
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Serviks uteri
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Carsinoma cervix
Sel epitel cervix
Sel epitel abnormal
Membana basalis
Stroma
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Korpus uteri fase haid
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4.4. VaginaVagina
Mrpk organ serupa tabung ini membantu Mrpk organ serupa tabung ini membantu
mendorong sperma melalui cervixmendorong sperma melalui cervix
Cairan di dalam lumen vagina menambah Cairan di dalam lumen vagina menambah
motilitas spermamotilitas sperma
Di bawah pengaruh estrogen, epitel vagina Di bawah pengaruh estrogen, epitel vagina
menebal dan sel-selnya menimbun glikogen, menebal dan sel-selnya menimbun glikogen,
yg dilepaskan ke dalam lumen selama proses yg dilepaskan ke dalam lumen selama proses
pengelupasan.pengelupasan.
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Vagina
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VaginaVagina
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5. Apparatus genitalia externa5. Apparatus genitalia externa
● ● Terdiri atas : - Clitoris Terdiri atas : - Clitoris - Labium mayus- Labium mayus - Labium minus - Labium minus ●● Mengandung sejumlah besar Mengandung sejumlah besar ujung-ujung serabut saraf ujung-ujung serabut saraf → → berperan di dalam merangsang berperan di dalam merangsang
gairah seksualgairah seksual
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Siklus menstruasiSiklus menstruasi
UterusUterus→ Lap. Mukosa: - endometrium→ Lap. Mukosa: - endometrium
- miometrium- miometrium
Perubahan siklis endometrium Perubahan siklis endometrium berlangsung melalui 2 fase:berlangsung melalui 2 fase:
* Fase proliferasi* Fase proliferasi
* Fase sekresi* Fase sekresi
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Endometrium proliferatifEndometrium proliferatif
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Endometrium proliferatifEndometrium proliferatif
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EndometriumEndometrium
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EndometriumEndometrium
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Endometrium: permulaan Endometrium: permulaan menstruasimenstruasi
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Permukaan endometriumPermukaan endometrium
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Endometrium: pasca Endometrium: pasca menopausemenopause
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Endometrium pasca Endometrium pasca menopausemenopause
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Miometrium
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Fertilisasi dan implantasiFertilisasi dan implantasi
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PlasentaPlasenta
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Desidua
a. desidua → hub. Perkembangan fetus&plasenta
b. desidua : - parietalis(DP) - capsularis (DC) - basalis (DB)c. sel desidua: - poligonal - nukleus tercat
pucat - granula sitoplasma eosinofilik
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DesiduaDesidua
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Plasenta tahap awalPlasenta tahap awal
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Bagian tepi vilusBagian tepi vilus
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Plasenta mudaPlasenta muda
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Plasenta tuaPlasenta tua
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Plasenta tua
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Membran janinMembran janin
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Funikulus umbilikalis
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Funikulus umbilikalis (tali pusat)Funikulus umbilikalis (tali pusat)
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GLANDULA MAMMAE
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- Schematic drawing of the female breast showing inactive and active mammary glands.
- Each lactiferous duct with its accompanying smaller ducts is a gland in itself and constitutes the lobes of the gland.
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Figure 23—28. Changes in the mammary gland. A: In nonpregnant women, the gland is quiescent and undifferentiated, and its duct system is inactive. B: During pregnancy, alveoli proliferate at the ends of the ducts and prepare for the secretion of milk. C: During lactation, alveoli are fully differentiated, and milk secretion is abundant. Once lactation is completed, the gland reverts to the nonpregnant condition.
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Glandula mammae
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STRUKTUR MAMMAESTRUKTUR MAMMAETerdiri dari : Jaringan alveolar Terdiri dari : Jaringan alveolar (kelenjar susu) :(kelenjar susu) :
* lobus-lobus dipisahkan oleh j. ikat & j. * lobus-lobus dipisahkan oleh j. ikat & j.
lemaklemak
* setiap lobus bermuara ke ductus * setiap lobus bermuara ke ductus
lactiferus (saluran air susu)lactiferus (saluran air susu)
* Saluran limfe sebagai plexus halus * Saluran limfe sebagai plexus halus dalam dalam
septum interlobularis jaringan kelenjar septum interlobularis jaringan kelenjar
→→ membentuk saluran yang lebih besarmembentuk saluran yang lebih besar
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Photomicrograph of lactating mammary gland.
Several alveoli are filled with milk, visible as granular material.
The vacuoles in the lumen and in the alveolar cell cytoplasm represent the lipid portion of milk.
PT stain. Medium magnification.
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Figure 23—30. Secreting cells from the mammary gland. From left to right, note the accumulation and extrusion of lipids and proteins. The proteins are released through exocytosis.
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Glandula mammaeGlandula mammae
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Kelenjar mamma non-aktifKelenjar mamma non-aktif
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Glandula mammae selama Glandula mammae selama kehamilankehamilan
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Glandula mammae dalam Glandula mammae dalam masa laktasimasa laktasi
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Kelenjar mamma dalam masa laktasi
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ORGANA GENITALIA ORGANA GENITALIA FEMININAFEMININA
ORGANA GENITALIA EXTERNAORGANA GENITALIA EXTERNA
ORGANA GENITALIA INTERNAORGANA GENITALIA INTERNA
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ORGANA GENITALIA ORGANA GENITALIA EXTERNAEXTERNA
CLITORISCLITORISVESTIBULUMVESTIBULUMLABIUM MINUSLABIUM MINUSLABIUM MAYUSLABIUM MAYUSKELENJAR DEWASA KELENJAR DEWASA (SELAMA KEHAMILAN)(SELAMA KEHAMILAN)KELENJAR LAKTASIKELENJAR LAKTASIINVOLUSI SENILISINVOLUSI SENILIS
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FUNGSI :FUNGSI :
Sebagai jalan masuk sperma ke Sebagai jalan masuk sperma ke
dalam tubuh wanitadalam tubuh wanita
Sebagai pelindung organ kelamin Sebagai pelindung organ kelamin
dalam dari organisme penyebab dalam dari organisme penyebab
infeksiinfeksi
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Klitoris
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Labium minusLabium minus
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Labium mayusLabium mayus