Escolar Documentos
Profissional Documentos
Cultura Documentos
SYSTEM
Oleh :
Feminine
Reproductive System
Anatomy of Female
Reproductive System
Female
reproductive organs
Ovaries
Uterine tubes
Uterus
Vagina
External genital organs
Mammary glands
Female Pelvis
Ovarian function
Oogenesis
Maturation
of oocyte.
Expulsion of the mature oocyte
(ovulation).
Secretion of the female sex hormone
(estrogen and progestogen), as well as
the peptide hormone inhibin.
FOLLICLES
20 WEEKS GESTATION
6.O00.000 7.000.000
AT BIRTH
1.000.000 - 2.000.000
PUBERTY
300.000 400.000
READY TO DEVELOP
400 - 500
37 YEARS
10.000
Ovary Histology
Folliculogenesis
Maturation and
Fertilization
of Oocyte
Fate
of the follicle
Graafian follicle
become corpus
luteum
If fertilization occurs,
corpus luteum
persists
If no fertilization,
becomes corpus
albicans
Follicular Selection
Primordial Follicles
Recruitment
Continuous but
asynchronous growth
of follicles
Preantral Follicles
Selected dominant follicle
Follicles not
selected undergo
atresia
Anthral follicle
Maturation ( 2 weeks growth)
Preovulatory (Graafian) follicle
FSH is responsible for:
1. Recruitment of the pool of the precursor follicles
2. Initiating selection and maturation of the dominant follicle
Oogenesis is the
production of a
secondary oocyte in
ovaries
Oogonia are cells from
which oocytes develop
Primary oocytes are
surround by granulosa
cells and called a
primordial follicle
Primordial follicle
becomes a primary
follicle when oocyte
enlarges and cells
change
or fallopian
tubes or oviducts
Open directly into
peritoneal cavity to
receive oocyte from
ovary
Transport oocyte or
zygote from ovary to
uterus
Uterus
Serous
membrane
Myometrium: Smooth
muscle
Endometrium:
Mucous membrane
Female organ of
copulation
Allows menstrual
flow and childbirth
Hymen covers the
vaginal opening or
orifice
Perineum
Contains
the external
genitalia
Anal triangle
Clinical
perineum
Region between
vagina and anus
Episiotomy: Incision
to prevent tearing
during childbirth
Vulva or pudendum or
external female
genitalia
Vestibule: Space
Labia
minora: Form
borders on sides
Clitoris: Erectile
structure
Corpora cavernosa
Corpora spongiosa
Labia majora
Unite
pubis
to form mons
Female Perineum
Mammary Glands
Organs
of milk
production located
within mammae or
breasts
Consist of glandular
lobes and adipose
tissue
Coopers ligaments
support the breasts
Begins with
menarche or first
episode of menstrual
bleeding
Begins when GnRH
levels increase
Menstrual
Cycle
phase
Secretory phase
Menses
Amenorrhea:
Absence of a
menstrual cycle
Menopause:
Cessation of
menstrual cycles
Menstrual Cycle
Hormone Regulation
during Menstrual Cycle
sexual
behavior
sex act
Parasympathetic
stimulation
Blood
Depends on
hormones
Androgens
Female
and
steroids
Depends on
psychological
factors
engorgement in
clitoris and around
vaginal opening
Erect nipples
Mucouslike fluid
extruded into vagina
and through wall
Orgasm not
necessary for
fertilization to occur
Fascia endopelvis
2. M. levator ani
3. membran perineum&
dd.pelvis/sfingter ani ekterna
M.LEVATOR ANI
M.pubokoksigeus/puboviseral
M.ileokoksigeus
DIAFRAGMA UROGENITAL
M.burbokavernosus
M.perineus
luar.
Fungsi: mencegah prolapsus tidak
lebih parah (bila fascia endopelvis
melemah)
PERINEAL BODY
Masa
STRES INKONTINENSIA
INKONTINENSIA
OVERAKTIVE BLADDER/urge
MIXED INCONTINENCE
OVERFLOW INCONTINENCE
KELAINAN ANATOMIS
INKONTINENS. FUNGSIONAL
INKONTINENSIA TRANSIEN
INKONTINENSIA TRANSIEN
(DIAPPERS)
Delirium
Infection
Atrophic
vaginitis
Pharmacologic
Psychological
Endocrine
Restricted mobility
Stool impaction
DIAGNOSIS
STRES INKONTINENSIA
Terdapat
PEMERIKSAAN TAMBAHAN
Inkontinensia
Urine
sisa
Tes provokasi :batuk.
Pemeriksaan : spekulum,Q test,
urodinamik dan tekanan uretra.
PENATALAKSANAAN
Pemberian
estrogen
Pemakaian pesarium
Operasi
anatomi o.k.
kehamilan,partus, umur, menopause.
Anatomi :kadaver, teranetesi berbeda
dng waktu berdiri.
TUJUAN BEDAH
REKONTRUKSI
Untuk
ANATOMI
PROLAPSUS UTERI
DIFINISI
TURUNNYA
KAUSA
USIA
LANJUT
DEFISIENSI ESTROGEN
TRAUMA PERSALINAN
GENETIK
TEKANAN INTRAABDOMINAL
RIWAYAT
Peningkatan
insidensi
Peningkatan usia wanita/umur panjang
Aktivitas seksual
Rekontruksi vagina, fungsi kandung
kemih dan rektum
PROLAPS GENITAL
1.
SISTOKEL
2. REKTOKEL
3. ENTEROKEL
4.PROLAPSUS UTERI
5. PROLAPSUS VAGINA
Vesikokel/Kistokel
Rektokel
Procidensia
KLASIFIKASI PROLAPSUS
TINGKAT
I : didalam vagina
TINGKAT II : di introitus vagina
TINGKAT III : di luar introitus
PROSIDENSIA
THANK YOU