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GASTROENTEROLOGIANAK
GASTROENTEROLOGIANAK
SISTEMATIKA PROBLEMBASED
FAAL
SISTEMPENCERNAAN
KELUHANUTAMA
SISTEMPENCERNAAN
GASTROENTEROLOGI HEPATOLOGI PERITONEUM
- ORAL CAVITY
- GI TRACT
- PANKREAS
KELUHANUTAMA
1. MENCRET
2. MUNTAH
3. GAGAL TUMBUH
4. IKTERUS
5. ENSEFALOFATIA
6. GANGGUAN MENELAN
7. SAKIT PERUT
8. PERUT GEMBUNG
9. SEMBELIT
10. PERDARAHAN
SAL. CERNA
FAAL
1. MAKAN & MINUM
2. TRANSPORT
3. DIGESTI & ABSORBSI
4. PERTAHANAN
5. ENDOKRIN
PERTAHANANTUBUH
IMUNOLOGIK
NON IMUNOLOGIK
- MUKOSA
- ASAM LAMBUNG
- MUKUS
- FLORA
GALT
- MOTILITAS
GALT(GUT ASSOCIATED LYMPHOID TISSUE)
SCATTERED AGGREGATES
PEYER’S PATCHES
MOTILITAS
KONTRAKSI GERAKAN
RESTING NON RESTING MIXING PROPULSI
GGN.MOTILITAS
ESOPH. DYSMOTILITY
CHESTPAINT
1. GER
2. ANGINA
3. MUSKU LOSKLETAL
DD
GASTROPARESIS
CHR. INT. PSEUDOOBSTR
- GGN. PENGOSONGAN GASTER
- DYSPEPTIC
- GGN. MOTILITAS USUS
- TIDAK ENAK
- DISTENSI
FEEDING( PEMBERIAN MAKANAN )
MAKAN MINUM
- MEMBAWA
- MEMASUKKAN
- MENGECAP
- MENGUNYAH
- MENELAN
CAIR
- MENGISAP
PADAT
FEEDING
ENTERAL PARENTERAL( I . V )
ORAL SONDE
OSTOMI NON OSTOMI
- GASTROSTOMI
- ILEOSTOMI
NASOGASTRIC TUBE
PARENTERAL FEEDING
USUS ISTIRAHAT
KOLESTASISATROFI USUS
KOLON
70 %INTRALUMINAL
30 %INTRAVASAL
FLORA
USUS HALUS USUS BESAR
AEROB > ANAEROB
1. PERTAHANAN TUBUH
2. MATURATION OF GUT IMMUNE
3. NUTRISI
1. PERUBAHAN MAKANAN
2. ANTI MIKROBA
3. GGN. ASAM LAMBUNG
4. GGN. PERISTALIS
5. ILEOCAECAL SPHINCTER
6. PCM
7. ANATOMI
PERUBAHAN FLORA
BIOTIK
ANTI PRO PRE SYN
- LACTOBACILLUS FRUKTOOLIGOSAKARIDA
- BIFIDOBACTERIUM
PENCERNAAN
PEROMBAKAN
BAHAN MAKANAN
- FISIS
- MEKANIS
- KIMIA
BAGIAN-BAGIAN LBH KECIL&
MUDAH DIABSORPSI
PENCERNAAN
INTRALUMINAL INTRASELULER
- PANKREAS
- LIVER
- GASTER
- PEPTIDASE
- LIPASE
MEMBRANE
- SUKRASE
- MALTASE
- LAKTASE
- GLUKOAMILASE
ABSORPSI
MASUKNYA AIR ATAUHASIL PENCERNAAN
LUMEN
MUKOSA
PEMBULUHDARAH
LIMFE
MUKOSA
TRANSELULER PARASELULER
VIA LUMINALMEMBRAN
DIANTARA ENTEROSIT( TIGHT JUNCTION )
DIGESTI - ABSORPSI
INTRALUMINAL DIGESTION
PARACELLULER
INTERCELLULERSPACE
TRANSCELLULER
MEMBR. DIGESTION
CELLULER UPTAKE
INTRACELL. DIGESTION
BASOLAT. MEMB
INTERCELLULAR SPACE
BASEMENT MEMBRANE
INTERSTITIAL SPACE(LAMINA PROPIA)
PEMBULUH
- DARAH
- LIMFE
TRANSCELLULER PARACELLULER
1
2
43
56
7
1. LUMINAL MEMBRANE
2. TIGHT JUNCTION
3. BASOLATERAL MEMBRANE
4. INTERCELLULER SPACE
5. BASEMENT MEMBRANE
6. LAMINA PROPRIA
7. PEMBULUH DARAH / LIMFE
KETERANGAN