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Fisiologi Ginjal & System urinary dr. Bambang Purwanto, M.Kes

Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

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Page 1: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Fisiologi Ginjal & System urinary

dr. Bambang Purwanto, M.Kes

Page 2: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Anatomi system urinaryAnatomi system urinary

Page 3: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Ginjal Ginjal

Page 4: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Nefron & peritubular vasa Nefron & peritubular vasa

Page 5: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Filtrasi, reabsorbsi, sekresi

Page 6: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

DARAH FILTRASI

di Glomerulus FILTRAT

Bermanfaat Dibuang Reabsorbsi

Di tubulus

Sekresi

Di Tubulus Bahan tambahan

URINGINJAL

Page 7: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

E = F – R + S

•. E : ekskresi•. F : filtrasi•. R : reabsorpsi•. S : sekresi

Pembentukan urine

Page 8: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Glomerulus

GFR:Kecepatan filtrasi glomerulus

Page 9: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Regulasi GFRGFR bergantung pada :

1. tekanan arteri 2. aliran aferent3. aliran eferent

Cafeine vasodilatasi aferent Aliran aferent GFR diuresis

Page 10: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Reabsorpsi & sekresi tubulus

Furosemide

Page 11: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Reabsorpsi & sekresi tubulus

Thiazide

Page 12: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Reabsorpsi & sekresi tubulus

Page 13: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan
Page 14: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

MiksiMiksi

Page 15: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Refleks miksi

Page 16: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Beser (ngompol) Sfingter urethra eksterna otot rangka

kendalikan BAK Sfingter urethra eksterna tak mampu

berkontraksi tak mampu tahan BAK Penyebab : trauma tulang belakang,

jatuh terduduk Terapi : latihan fisioterapi

Page 17: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan
Page 18: Fisiologi Ginjal & System urinary - Frida Magdalena | … · PPT file · Web view2012-10-04 · Anatomi system urinary Ginjal Nefron & peritubular vasa Filtrasi ... otot rangka kendalikan

Creatinin & Gagal ginjalCreatinin & Gagal ginjal Clearance creatinin & kadar creatinin Clearance creatinin & kadar creatinin

darah merupakan indikator fungsi ginjaldarah merupakan indikator fungsi ginjal Clearance creatinin Clearance creatinin ↓ : fungsi filtrasi ↓ ↓ : fungsi filtrasi ↓

kadar creatinin darah kadar creatinin darah Kadar creatinin darah Kadar creatinin darah & clearance & clearance

creatinin ↓ creatinin ↓ Dx : gagal ginjal Dx : gagal ginjal Penyebab gagal ginjal : aliran glomerulus↓ Penyebab gagal ginjal : aliran glomerulus↓

misal : batu ginjal & shock misal : batu ginjal & shock