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SISTEM GENITALIA

SISTEM GENITALIA. GUSTI REVILLA. PELVIS. TDD  - DDG. PELVIS, - RONGGA PELVIS (ISI ORGAN GENITALIA) - PERINEUM PELVIS MAYOR  ISI ABD PELVIS MINOR  TRAC. UROGENITALIS  O/LINEA TERMINALIS DDG PELVIS TDD  KERAS (TULANG) & LUNAK (OTOT)

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SISTEM GENITALIA

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  1. SISTEM GENITALIA GUSTI REVILLA

  2. PELVIS TDD  - DDG. PELVIS, - RONGGA PELVIS (ISI ORGAN GENITALIA) - PERINEUM PELVIS MAYOR  ISI ABD PELVIS MINOR  TRAC. UROGENITALIS  O/LINEA TERMINALIS DDG PELVIS TDD  KERAS (TULANG) & LUNAK (OTOT) BENTUK PANGGUL: - GINECOID - ANDROID - ANTHROPOID - PLATYPELLOID

  3. Ukuran-2 panggul Pintu atas panggul  dbtk o/ promontorium, linea terminalis & pinggir atas simfisis pubis Conjugata vera  jarak promontorium s/d pinggir atas simfisis pubis (11cm) Diameter transversal  jarak terjauh garis melin-tang PAP (12.5-13 cm) Diameter oblique (13 cm)

  4. DDG ANTERIOR (PUBIS), POSTERIOR (SACRUM & COCCYGIS), LATERAL (COXAE) & INFERIOR (DIAPHRAGMA PELVIS) OTOT PELVIS DDG PELVIS  M. ILIACUS, PIRIFORMIS & OBTURATOR INTERNUS DIAPHRAGMA PELVIS (M. LEVATOR ANI & COCCYGEUS) DIAPHRAGMA PELVIS  CANALIS ANALIS & URETHRA  PRIA & WANITA DI + VAGINA M. LEVATOR ANI  TBG : M. PUBOCOCCYGEUS & ILLIOCOCCYGEUS FGS: PENYOKONG ORGAN PELVIS & SPHINCTER PADA VAGINA & RECTUM PBLH DARAH  CAB. A. ILIACA INTERNA & A. SACRALIS MEDIA  PBLH BALIK MENGIKUTI ARTERI PERSARAFAN  N. PUDENDUS, PLEX. HYPOGASTRICUS & PLEXUS LUMBALIS LEMAHNYA DIAFRAGMA  MENONJOLNYA V. URINARIA PD DDG ANTERIOR VAGINA  SISTOKEL

  5. PERINEUM Belah Ketupat  SOP S/D Ujung Coccygis Dbg Atas: - Trigonum Analis (Anus & Fosa Ischiorectal) - Trigonum Urogenital  Genitalia externa, orf. Vagina & urethra  wanita Pria  penis &scrotum Fossa ischiorectalis  tltk disamping canalis ani Isi fossa  lemak, a.v pudenda interna & n. pudendus

  6. Genitalia muliebris EXTERNA - Mons pubis - Labia mayor dan minora - Clitoris - Orf. Urethra ext - Orf. Vagina ext - Kel. Ascessorius Brd diafragma Interna - Ovarium - Tuba uterina - Uterus - Vagina Brd dalam pelvis

  7. Ovarium ALMOND, UK  4-2 cm  DISISI UTERUS. TDD  EXTREMITI SUPERIOR DIIKAT O/ FIMBRAE & LIG. SUSPENSORIUM OVARII  VASA OVARICA EXTREMITI INFOR  IKAT O/ LIG. OVARII PROPRIUM  LIG. LATUM MARGO ANTERIOR & POSTERIOR POSISI  IBU HAMIL &STLH MELAHIRKAN  KONTRAKSI UTERUS  TDK KEMBALI PD KEADAAN SEMULA. TUA  ATROPI

  8. TOPOGRAFI OVARIUM A. OVARICA  AORTA ABDOMINAL BERANASTOMOSE DG A. UTERINA V. OVARICA KANAN  V. CAVA INFERIOR V. OVARICA KIRI  V. RENALIS PERSARAFAN  N. HYPOGASTRICUS & PLEX. PELVICUS

  9. TUBA UTERINA TDPT 2 TUBA DIGANTUNG O/ MESOSAL PHING  PLICA PERITO-NEUM. PJG 10 CM TDD  INTRAMURAL ISTHMUS (SEMPIT) AMPULA (LEBAR)  TJD FERTILISASI INFUNDIBULUM  DILING KUPI O/ FIMBRAE PBLH DRH  CAB A. UTERINA & OVARICA

  10. UTERUS ORGAN BERONGGA, SPT PER & BDDG OTOT TLTK  V. URINARIA & RECTUM ATAS  TUBA UTERINA & BAWAH  VAGINA PJG 7.5 CM, LEBAR 5 CM & BERAT 30 – 40 G TDD: FUNDUS, CORPUS & CERVIX. FUNDUS  DIATAS MUARA TUBA. HAMIL  POSISI BERBEDA

  11. CORPUS  TLTK DIBWH MUARA TUBA. TDD: FACIES VESICALIS  EXCAVATIO VESICO UTERINA FACIES INTESTINALIS  COLON SIGMOID MARGO LATERAL CERVIX  BGN UTERUS MENYEMPIT  VAGINA. TBG: PORTIO SUPRAVAGINALIS  MSG-2 SISI  URETER PORTIO VAGINALIS  UJUNG ORFICIUM UTERI EXTERNA CAVUM DAUGLAS (EXCAVATIO RECTO UTERINA)

  12. FIXAXI UTERUS TDD: • PENYOKONG  DIAFRAGMA PELVIS • PENGGANTUNG  TDD: • -LIG. LATUM  MULAI PD SISI-2 UTERUS S/D DDG PELVIS • - LIG.TERES UTERI  PITA PIPIH ADA DI SISI UTERUS • - LIG. CARDINALE • POSISI UTERUS: • - FETUS  CAVUM ABD • - PUBERTAS  PELVIS • - MENS  BESAR • - HAMIL  BESAR  REGIO EPIGASTRICA • - SDH MELAHIRKAN  UK SEMULA & CAVUM LBH BESAR • - TUA  ATROPI

  13. VAGINA MMJG DR VESTIBULUM S/D UTERUS TDPT DBLKG V.URINARIA & DEPAN RECTUM DITEMUKAN: FORNIX ANTERIOR & POSTERIOR HUB. ANTARA VAGINA DG ALAT SEKITARNYA: ANTERIOR  VESICA URINARIA POSTERIOR  RECTUM JLN TPJG U/ JANIN

  14. GENITALIA EXTERNA MONS PUBIS  BGN MENONJOL DIDEPAN SOP  RAMBUT LABIA MAYORA  LIPATAN KULIT YG MENONJOL DBLKG MONS PUBIS LABIA MINORA  LIPATAN KULIT YG KECIL, MMJG DR CLITORIS SCR OBLIQ & BRD DIANTARA LABIA MAYORA CLITORIS  ERECTIL, BRD DIBAWAH COMMISURA LABIALIS ANTERIOR  JAR. ERECTIL VESTIBULUM  CELAH ANTARA LABIA MINORA & DIBLKG CLITORIS. TDPT: - ORF. URETHRA, ORF. VAGINA & MUARA DUCTUS VESTIBULARIS HYMEN  LIPATAN MBRN MUKOSA TIPIS  ORF. VAGINA  HYMEN IMPERFORATA BULBUS VESTIBULARIS  TDPT PADA SISI-2 ORF. VAGINA

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