l4 scv cor et pericardium
TRANSCRIPT
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Systema cardiovasculare
•Cor•Arteriae•Venae•Circulus sanguinis minor•Circulus sanguinis major•Vasa limphatica
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Circulus sanguinus major et minor
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Arteriet dhe venat
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Zemra (cor) – pericardium
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Zemra (cor) - e nxjerrë nga perikardi
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Cor - forma dhe pozitaCor - forma dhe pozita
Zemra ka formën e piramidës së çrregullt trifaqësoreZemra ka formën e piramidës së çrregullt trifaqësore
Baza e zemrës Baza e zemrës (basis cordis)(basis cordis) : prapa, lart, djathtas : prapa, lart, djathtas
Maja e zemrës Maja e zemrës (apex cordis):(apex cordis): përpara, poshtë, majtas përpara, poshtë, majtas
Boshti i zemrës Boshti i zemrës (axis cordis):(axis cordis):
krijon kënd prej 45krijon kënd prej 450 0 me rrafshin frontal, sagjital me rrafshin frontal, sagjital
kurse me rrafshin horizontal 30-60 shkalle kurse me rrafshin horizontal 30-60 shkalle
(perputhet me boshtin elektrik te zemres).(perputhet me boshtin elektrik te zemres).
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Dimensionet, masa, vëllimi dhe pozita e Dimensionet, masa, vëllimi dhe pozita e zemrëszemrës
Dimenzionet:Dimenzionet:
Gjerësia 10 cmGjerësia 10 cm
Trashësia 6-7 cmTrashësia 6-7 cm
Gjatësia (boshti) 12-15 cmGjatësia (boshti) 12-15 cm
Pesha e zemrësPesha e zemrës së zbrazët: 250-300 gr së zbrazët: 250-300 gr
Vëllimi i zgavrave të zemrësVëllimi i zgavrave të zemrës: 160-190 ml: 160-190 ml
PozitaPozita: mediastinum medium:: mediastinum medium:
-prapa: aorta, oesophagus dhe Th Vi, VII, VIII-prapa: aorta, oesophagus dhe Th Vi, VII, VIII
-Përpara: sternumi, kërcat e brinjës se III, IV, V, VI te majta-Përpara: sternumi, kërcat e brinjës se III, IV, V, VI te majta
-Anash: pleura mediastinalis-Anash: pleura mediastinalis
-Poshtë: diaphragma-Poshtë: diaphragma
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Cor - pamja e jashtme nga përpara
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Cor Cor - - pamja e jashtmepamja e jashtme
FaqetFaqet e zemrës e zemrës:: Facies sternocostalis s.anteriorFacies sternocostalis s.anterior Facies diaphragmatica s.inferiorFacies diaphragmatica s.inferior Facies pulmonalisFacies pulmonalis
Margo dexterMargo dexter BazaBaza e zemrëse zemrës (basis(basis cordis cordis)) MajaMaja e zemrëse zemrës (apex(apex cordis cordis)) Sulcus coronariusSulcus coronarius Sulcus interventricularis anterior / posteriorSulcus interventricularis anterior / posterior
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Cor (zemra) - pamja e jashtme (aspectus anterior)
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Cor - pamja e jashtme (aspectus posterior)
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NdërtimiNdërtimi i zemrës i zemrës Zemra është e përbërë prej tre shtresave:Zemra është e përbërë prej tre shtresave:
EpicardiumEpicardium MyocardiumMyocardium EndocardiumEndocardium
MyocardiumMyocardium Nga jashtNga jashtëë mbështjellët me epicardium mbështjellët me epicardium Nga brenda me endocardium Nga brenda me endocardium
TrashësiaTrashësia:: Atrium dexter/sinister:1.5-2 mmAtrium dexter/sinister:1.5-2 mm Ventriculuc dexter: 4-8 mmVentriculuc dexter: 4-8 mm Ventriculus sinister: deri 14 mmVentriculus sinister: deri 14 mm Septum cordis: 10 mmSeptum cordis: 10 mm
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Myocardium (muskuli i zemrës)
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Myocardium
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Ventriculus dexter et sinister
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Ventriculus dexter et sinister - prerje tërthore
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Zgavrat e zemrësZgavrat e zemrës
Atrium dextrumAtrium dextrum Atrium sinistrumAtrium sinistrum Ventriculus dexterVentriculus dexter Ventriculus sinisterVentriculus sinister Septum cordisSeptum cordis
Septum interatrialeSeptum interatriale Septum interventriculareSeptum interventriculare Septum atrioventriculareSeptum atrioventriculare
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Atrium dextrum et ventriculus dexter
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Atrium et ventriculus sinister
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Ventriculus sinister et ostium aortae
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Skeleti fibroz i zemrësanuli fibrosi -trigona fibrosa
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Aparati valvular i zemrësAparati valvular i zemrës(ventriculus dexter)(ventriculus dexter)
Ostium atrioventriculare dextrumOstium atrioventriculare dextrum Valva atrioventricularis dextraValva atrioventricularis dextra
Cuspis anteriorCuspis anterior Cuspis posteriorCuspis posterior Cuspis septalisCuspis septalis
Ostium trunci pulmonalisOstium trunci pulmonalis Valva trunci pulmonalisValva trunci pulmonalis
Valvula semilunaris anteriorValvula semilunaris anterior Valvula semilunaris dextraValvula semilunaris dextra Valvula semilunaris sinistraValvula semilunaris sinistra
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Aparati valvular i zemrësAparati valvular i zemrës(venticulus sinister)(venticulus sinister)
Ostium atrioventriculare sinistrumOstium atrioventriculare sinistrum Valva atrioventricularis sinistraValva atrioventricularis sinistra
Cuspis anteriorCuspis anterior Cuspis posteriorCuspis posterior
Ostium aortaeOstium aortae Valva aortaeValva aortae
Valvula semilunaris dextraValvula semilunaris dextra Valvula semilunaris sinistraValvula semilunaris sinistra Valvula semilunaris posteriorValvula semilunaris posterior
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Aparati valvular i zemrësAparati valvular i zemrës
Valvat e hapjeve të zemrës ndërlidhen me Valvat e hapjeve të zemrës ndërlidhen me muskujt papilar me anë të horde tendinemuskujt papilar me anë të horde tendine
Cuspis / valvula semilunarisCuspis / valvula semilunaris Chordae tendineaeChordae tendineae Mm.papillaresMm.papillares
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Valvulae semilunares (valva aortae)
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Cor – prerje gjatësore
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Systema conducens cordisSystema conducens cordis
Sistemin përçues të zemrës e formojnë:Sistemin përçues të zemrës e formojnë:
Nodus sinuatrialisNodus sinuatrialis Nodus atrioventricularisNodus atrioventricularis Fasciculus atrioventricularisFasciculus atrioventricularis
Crus dextrumCrus dextrum Crus sinistrumCrus sinistrum
Qelizat purkinje-utQelizat purkinje-ut
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Systema conducens cordis (djathtas)
Prezantim djathtas
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Arteriet e zemrës Arteriet e zemrës (aa.coronariae)(aa.coronariae) A.coronaria sinistraA.coronaria sinistra
R.circumflexusR.circumflexus R.marginalis sinisterR.marginalis sinister R.posterior ventriculi sinistriR.posterior ventriculi sinistri
R.nodi sinuatrialis R.nodi sinuatrialis R.nodi atrioventricularisR.nodi atrioventricularis Rr.atrialesRr.atriales
R.interventricularis anteriorR.interventricularis anterior R.coni arteriosiR.coni arteriosi R.lateralisR.lateralis Rr.iterventriculares septalesRr.iterventriculares septales
A.coronaria dextraA.coronaria dextra R.coni arteriosiR.coni arteriosi R.marginalis dexterR.marginalis dexter R.nodi sinuatrialisR.nodi sinuatrialis R.nodi atrioventricularisR.nodi atrioventricularis Rr.atriales (r.atrialis intermedius)Rr.atriales (r.atrialis intermedius) R.interventricularis posteriorR.interventricularis posterior
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A.coronariae dextra/sinistra
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Venat e zemrës Venat e zemrës (venae cordis)(venae cordis)
Sinus coronariusSinus coronarius V.cardiaca magnaV.cardiaca magna V.cardiaca mediaV.cardiaca media V.posterior ventriculi sinistriV.posterior ventriculi sinistri V.obliqua atrii sinistriV.obliqua atrii sinistri Vv.cardiacae minimaeVv.cardiacae minimae
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Vv.cordis (sinus coronarius)
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PericardiumPericardium
Përreth zemra (preicardium) përbëhet prej dy fltëve:Përreth zemra (preicardium) përbëhet prej dy fltëve: Pericardium fibrosumPericardium fibrosum Pericardium serosumPericardium serosum
Lamina visceralis (epicardiumLamina visceralis (epicardium Lamina parietalisLamina parietalis
Cavitas pericardialisCavitas pericardialis
Cavitas pericardialis:Cavitas pericardialis: Sinus transfersus pericardiiSinus transfersus pericardii Sinus obliqui pericardiiSinus obliqui pericardii
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Pericardium
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Teleradiografia e zemrës
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Projektimi i ostiumeve të zemrës - në murin e përparmë të kraharorit