Download - Systema Digestiva Acessoria-gia
![Page 1: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/1.jpg)
SYSTEMA DIGESTIVA ACESSORIA
Gia Noor PratamiG0009092
![Page 2: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/2.jpg)
HEPAR
VESICA FELLEA
PANCREAS
LIEN
![Page 3: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/3.jpg)
Hepar mempunyai bagian facies, fossae, fissurae, margines, dan lobi.
2 Facies hepar:1. Facies diaphragmatica
a. Facies superior Ligamentum Falciforme Hepatisb. Facies inferior Bare Area
2. Facies Visceralis
![Page 4: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/4.jpg)
Sulcus vena cava inferiora. Fossa sagitalis dextra
Fossa vesica fellea Fissura ligamenti teretis hepatis
b. Fossa sagitalis sinistra Fissura ligamenti venosi Arantii
c. Fissura transversa (porta hepatis)d. Facies lobi quadratie. Facies lobi caudatef. Impressio oesophageag. Impressio gastricah. Impressio suprarenalisi. Impressio renalisj. Impressio duodenalis k. Impressio colica
Facies Visceralis
Lobus hepatis sinister
Lobus hepatis dexter
![Page 5: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/5.jpg)
Lobi Hepatis• Lobus hepatis dexter• Lobus quadratus• Lobus caudatus• Lobus hepatis sinister
![Page 6: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/6.jpg)
![Page 7: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/7.jpg)
![Page 8: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/8.jpg)
Saluran Empedu
Lig. hepatoduodenale
INTRAHEPATALCanaliculi biliveri ductus biliverus ductus hepaticus dexter et sinister
Vesica fellea
Ductus choledochus
Ductus pancreaticus Wirsungi
Papilla duodeni mayor
ductus hepaticus communis ductus cysticus
![Page 9: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/9.jpg)
Neurovascularisasi
• Arteriosa
Truncus coeliacus a. hepatica communis a. hepatica propria a. hepatica dextra et sinistra (masuk porta hepatis) a. interlobaris (dalam canalis portae) a. intralobaris (dalam lobulus hepar)
• Venosa
V. cava inferior
V. hepatica
V. sublobularisV. centralis( di tengah2 lobulus)
Sinusoid (intra lobularis)
V. Interlobularis
Masuk porta hepatis
V. portae hepatis Systema portae hepatis
![Page 10: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/10.jpg)
Vena Portae Hepatis
![Page 11: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/11.jpg)
AnastomosisPortalSistemik
![Page 12: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/12.jpg)
• Systema Lymphatic
• InnervasiPlexus hepaticus yang merupakan cabang dari plexus coeliacus mengandung serabut saraf:
preganglioner parasimpatis - - n. Vagussimpatis postganglioner - - ganglion coeliacum
preganglioner - - n. Splanchnicus major
Hepar
![Page 13: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/13.jpg)
Patologi Hepar• Hepatomegali• Hipertensi Portal• Cirrochis Hepatis• Abses Hepar
Fungsi Hepar
![Page 14: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/14.jpg)
• Terletak pada fossa vesica fellea
• Skeletopis : setinggi perlekatan cartilago costae IX ke cartilago costae VIII
• Bagian-bagiannya:– fundus– corpus– infundibulum– Collum
Saluran• Ductus cysticus– Pars valvularis– Pars glebra
• Ductus Choledocus• Ampulla vateri• Papilla duodeni major
M. Spinchter oddi (3)
![Page 15: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/15.jpg)
![Page 16: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/16.jpg)
Neurovaskularisasi• VASKULARISASI
A/V Cystica
• LYMPHEPembuluh lymphe vesica fellea nl. Cysticus nl. Hepatici dan nl. Gastrica sinistra.
• INERVASI Plexus cysticus
• PATOLOGICholelithiasisCholesistitis
.
![Page 17: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/17.jpg)
• Terletak di regio epigastrica dan regio hypocondriaca sinistra.• Bagian-bagiannya– retroperitoneal : caput, collum, corpus– intraperitoneal : cauda
• Struktur:Ductus intercalatus Ductus intralobularis Ductus pancreaticus, yang terbagi atas :
- Ductus Pancreaticus Wirsungi - Ductus Pancreaticus Accessorius ( Santorini)
![Page 18: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/18.jpg)
![Page 19: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/19.jpg)
Neurovaskularisasi• VASCULARISASI
1) Arteriosa- A. Pancreaticoduodenalis superior cab. A. gastroduodenalis- A. pancraticoduodenalis inferior cab. A. Mesenterica superior- Rr. Pancretici A. Lienalis
2) VenosaSesuai dengan arterinya, mengalirkan darah venosa ke sistem
portae
• SISTEM LYMPHATICALymphe dari pancreas nl. Pancreaticoduodenalis nl
mesenterici
• INNERVASIPARASIMPATIS
SIMPATIS
Nucleus dorsalis N. X Pancreas
N. Vagus
(serabut pre ganglioner)
Gglterminale
Ganglion coeliacumn. Splanchnicus major
(Pre ggl) (post ggl)NILCLMS Segmen Th V- IX
Pancreas
![Page 20: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/20.jpg)
• Terletak di regio hypocondriaca sinistra setinggi costae IX sampai XI sinistra
• FACIES yang terdapat di lien antara lain:– Facies diaphragmatica– Facies gastrica– Facies renalis
• Hilus Lienalis• Duplicator peritoneal sebagai fixator lien, yaitu:– Ligamentum Gastrolienale– Ligamentum Lienorenale
![Page 21: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/21.jpg)
![Page 22: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/22.jpg)
NeurovaskularisasiArteriosaTruncus coeliacus
A. lienalis r. Lienalis (masuk hilus) A. Centralis A. Penicilus kapilerVenosa
V. lienalis bersatu dengan V. Mesenterica superior bermuara V. Porta hepatis
LYMPHEPembuluh lymphe keluar hilus kelenjar lymphe sepanjang A. Lienalis nl. Pancreaticolienalis
INNERVASI1. SIMPATIS
SBN I = Afferens ganglion spinale Efferens NILCLMS segmen thoracalis V – IX
Saraf preganglioner = N. Splanchnicus majorSBN II = ganglion coeliacum
2. PARASIMPATISSBN I = Afferens ganglion nodusum
Efferens Nucleus dorsalis Nn. VagiSBN II = Efferens ganglion terminale
![Page 23: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/23.jpg)
Patologi Lien
• Splenomegali : satuan Schuffner
ukuran pembesaran S I – VIII (S = Schuffner)
a
b
![Page 24: Systema Digestiva Acessoria-gia](https://reader031.vdocuments.site/reader031/viewer/2022012400/54480a25b1af9f5b618b4796/html5/thumbnails/24.jpg)
THANK YOUSELAMAT BELAJAR