Anatomi - Physiologi Sistem Bilier Dan Vesica Fellea

7/25/2019 Anatomi - Physiologi Sistem Bilier Dan Vesica Fellea

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ANATOMI FISIOLOGI SISTEMBILIER DAN VESICA FELLEA

Melisa, Vivi & Widi


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PENDAHULUAN

Sistem bilie me!"a#a$ s!at! sal!a$%a$

me$ali#a$ em"ed! #e dalam

d!'de$!m(Sistim Bilie)

I$ta*e"ati#) Ca$ali+!li Biliais &

D!+t!liBiliais(

E#sta*e"ati#) D( e"ati+!s De#sta-Si$ista,

D( C%sti+!s,D( C*'led'+!s, Vesi+a


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Sistem Bilie I$ta*e"ati+

V.portavenule portav.

distribusi sinusoidv.Central (v.centorlobular)

v.sublobulusv.cava

inferior

A.hepaticaa.

interlobular arteriola

inlet sinusoid

e central lobulus

!ist. bilier intrahepatic "hepatositcentral

lobulus

perifer" canaliculi

biliaris ductus biliaris(Hearin#$s

canal) ductus

hepaticus


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D!+t!s C%sti+!s)

/a$0a$) 1-2 +m

Teleta# "ada "'ta *e"atis) dai +'ll!mvesi+a

.ellead!+t( *e"ati+!sd!+t( +*'led'+*!s(

Di$di$ l!me$) #at!"bt# s"ial 3valv!la

s"ialis4eiste5

D!+t!s e"ati+!s)

/a$0a$) 6 1 +m

Ve$tal dai A( e"ati+a "'"ia d7

Besat! d d!+t( +%sti+!sd!+t(+*'led'+*!s(

Sistem Bilier Ekstrahepatic


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D!+t!s C*'led'+*!s /a$0a$) 6 8 +m

Tebai 2 seme$)

S!"ad!'de$al

Ret'd!'de$al

I$.ad!'de$al

I$tad!'de$al

Am"!la Vatei/etem!a$) d!+t( +*'led'+*!s 9 d!+t(

"a$#eati+!s


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ANA%&' VE!CA VELEA

Be$t!# se"eti b!a* "ea(

/a$0a$ 2 - : +m(

V'l!me 1; :; ml( Tebai 2 baia$)

F!$d!s


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ANATOMI


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'*&!&P VE!CA+ELLEA

Di$di$ 1 la"is )

M!#'sa e"itel #'l!m$a, mi#'vili

M!s#!lais 't't "'l's, a$li'$( Adve$tisia 3se'sa5 #'lae$,

0ai$a$ lim.e(

M!#!s di*sl#a$ sel t!b!la alve'la,m!#'sa

dai i$.!$dib!l!m da$ le*e vesi+avelea(


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VA!ULA*!A!

Atei C%sti+!sBeasal dai A(e"ati+a de#staMe$%ila$ Tia$le '. +all't(

Tia$le '. Call't, seitia %a$ dibatasi)S!"ei') il!s e"a(De#sta) D!+t( C%sti+!s(Si$ista) D!+t( e"ati+!s C'mm!$is(

Isi) A( e"ati+a De#sta, A( C%sti+!s(


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NNE*VA!

Sim"atis/ea$li'$ ) T= da$ T>( /'sta$li'$) bem!la dai /le#s!sSelia#!s(

/aasim"atis)Beasal dai +aba$ T!$#!s Va!s(

N%ei Viseal diste$si ata! i$?amasidi$di$ Vesi+a .ellea seab!t se$s'isN(S"le$i#!s seme$ T*'a+al 8-@;me$%eba #e e"iasti!m,s!b+'stal & s+a"!la #a$a$(


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+!&L&,

!el hepar (hepatoc-tes)" Mem"'d!#si aam em"ed! dai

+*'leste'l be+'$0!asi d)

Gl%+i$e

Gl%+*'+*'li+ A+id 9Na9 '


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+!&L&,

!el Hepar (hepatosit)" Mele"as#a$ em"ed! #e Ca$ali+!li

biliais D!+t( BiliaisD!+t(

*e"ati+!s Vesi+a .elleame$am"!$ ; ++(

/'d!#si em"ed! ;;-@;; ml4*ai

/e$alia$ +aia$ em"ed! diat!)

Se#esi em"ed! 'le* *ati(


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+un#si Epedu"

,ara Epedu " Memba$t! em!lsi#asi lema#

"ati#el #e+illi"ase da"at me$+e$a

lema# teseb!t( Beab!$ d li"ase 3m'$'liseida

da$ asam lema# mi+elles(

> me$alami abs'bsi di Ile!mtemi$al e$te'-*e"ati++i+!lati'$ e"a- me$stim!lasise#esi aam em"ed! 3+*'leeti+

a+ti'$5(


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+un#si Epedu "

/ime$ Em"ed!

Ba#tei !s!s 'bili$'e$ Daa*

e"a

Ste#'bili$'e$ Gi$0alEm"ed!

O 'bili$'e$

Ste#'bili$

3Fae+es5 'bili$

3!i$e5


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Vesica +ellea"

Saat "!asa s"*i$+te Oddi tet!t!"em"ed! Vesi+a .ellea(

E"itel +'l!m$a m!+!s

Sel m!+'sa eabs'bsi O, Na9,Cl-,"eme#ata$(

Saat ma#a$, lema# dalam ma#a$a$

me$%ebab#a$ ela#sasi s"*i$+teOddi da$ me$stim!lasi "ele"asa$CC< mea$sa$ N(Va!s #'$ta#si "ele"asa$ em"ed!

mas!# #edalam d!'de$!m(


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TERIMA KASIH

Anatomi - Physiologi Sistem Bilier Dan Vesica Fellea

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