JAR PENYOKONG.ppt
-
Upload
chervonita-indri-turnip -
Category
Documents
-
view
195 -
download
13
Transcript of JAR PENYOKONG.ppt
![Page 1: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/1.jpg)
JARINGAN PENYOKONGJARINGAN PENYOKONG
Dr. Bernadetha Nadeak, MPd Dr. Bernadetha Nadeak, MPd
![Page 2: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/2.jpg)
JARINGAN PENYOKONGJARINGAN PENYOKONG
• Jaringan tulang rawanJaringan tulang rawan
• Jaringan tulangJaringan tulang
@ UNSUR SEL@ UNSUR SEL
@ MATRIKS@ MATRIKS
![Page 3: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/3.jpg)
TULANG RAWANTULANG RAWAN
• FUNGSIFUNGSI
• CARA PERTUMBUHANCARA PERTUMBUHAN
• JENIS / MACAM JENIS / MACAM
![Page 4: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/4.jpg)
FUNGSIFUNGSI
• Penyokong jar.lunak dan sendiPenyokong jar.lunak dan sendi
• Membentuk permukaan sendiMembentuk permukaan sendi
• Pertumbuhan panjang tulangPertumbuhan panjang tulang
![Page 5: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/5.jpg)
MATERIALMATERIAL
UNSURUNSUR SELSEL
• MESENCHYMMESENCHYM
• FIBROBLASTFIBROBLAST
• KONDROBLASTKONDROBLAST
• KONDROSITKONDROSIT
• ISOGEN/ NEST ISOGEN/ NEST CELLCELL
MATRIKSMATRIKS• SERAT KOLAGENSERAT KOLAGEN• SERAT ELASTINSERAT ELASTIN• MATRIKS MATRIKS
TERRITORIAL TERRITORIAL ( CAPSULE)( CAPSULE)• PROTEOGLIKAN PROTEOGLIKAN ( KONDROITIN ( KONDROITIN
SULFAT)SULFAT)
![Page 6: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/6.jpg)
CARA PERTUMBUHANCARA PERTUMBUHAN
• Interstitial Interstitial mesenchym ->pusat mesenchym ->pusat kondrofikasi ( sel hsl : tropocolagen + kondrofikasi ( sel hsl : tropocolagen + zat metakromatik)->kondrosit & zat metakromatik)->kondrosit & terbentuk perikondrium, kondroblast terbentuk perikondrium, kondroblast membelah -> sel nest ( 2 sel membelah -> sel nest ( 2 sel 4 sel) 4 sel)
( pertumbuhan tl rawan baru didalam ( pertumbuhan tl rawan baru didalam tl.rwn)tl.rwn)
• Appositional Appositional pertumbuhan tl.rawan pertumbuhan tl.rawan dari tempat berlainan ( perikondrium) dari tempat berlainan ( perikondrium)
![Page 7: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/7.jpg)
JENIS TULANG RAWANJENIS TULANG RAWAN
• T.R.HIALIN : SEL KONDROSITT.R.HIALIN : SEL KONDROSIT
ZAT ANTAR SEL : KOLAGEN>>>ZAT ANTAR SEL : KOLAGEN>>>
PERIKONDRIUM +PERIKONDRIUM +
LARYNX,TRAKEA,BRONHUS,NASALLARYNX,TRAKEA,BRONHUS,NASAL
• T.R. ELASTIN : SEL KONDROSITT.R. ELASTIN : SEL KONDROSIT
ZAT ANTAR SEL: ELASTIN >>>ZAT ANTAR SEL: ELASTIN >>>
PERIKONDRIUM + PERIKONDRIUM +
EPIGLOTIS, TELINGA LUAR, TUBA AUDEPIGLOTIS, TELINGA LUAR, TUBA AUD
![Page 8: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/8.jpg)
JENIS TL.RAWANJENIS TL.RAWAN
• T.R FIBRO CARTILAGOT.R FIBRO CARTILAGO
KONDROSIT, KOLAGEN KASARKONDROSIT, KOLAGEN KASAR
PERIKONDRIUM –PERIKONDRIUM –
DISK.INTERVERTEB, ARTICULAR JOINTDISK.INTERVERTEB, ARTICULAR JOINT
• T.R. TURGESCENTT.R. TURGESCENT
KONDROSIT BESAR, KOLAGENKONDROSIT BESAR, KOLAGEN
PERIKONDRIUM –PERIKONDRIUM –
![Page 9: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/9.jpg)
Hyaline cartilageHyaline cartilage
![Page 10: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/10.jpg)
TULANG RAWAN ELASTINTULANG RAWAN ELASTIN
![Page 11: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/11.jpg)
FibrocartilageFibrocartilage
![Page 12: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/12.jpg)
Turgescent cartilageTurgescent cartilage
![Page 13: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/13.jpg)
PENGARUH USIAPENGARUH USIA
• DEGENERASI TULANG RAWAN DEGENERASI TULANG RAWAN
( ASBES FASERUNG)( ASBES FASERUNG)
• KALSIFIKASI KALSIFIKASI
NORMAL: PADA OSS ENDOKONDRALNORMAL: PADA OSS ENDOKONDRAL
@ REGENERASI @ REGENERASI RUSAK RUSAK JAR.PENYAMBUNG PERIKONDRIUMJAR.PENYAMBUNG PERIKONDRIUM
Pemb.darah tidak ada , nutrisi dari difusi p.drh. Pemb.darah tidak ada , nutrisi dari difusi p.drh.
![Page 14: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/14.jpg)
JARINGAN TULANGJARINGAN TULANG
FUNGSI : FUNGSI : • Penyokong kerangka tubuh / ototPenyokong kerangka tubuh / otot• Melindungi organMelindungi organ
Unsur utama:Unsur utama:Matriks tulang : inorganic salts & organic Matriks tulang : inorganic salts & organic
(kolagen)(kolagen)Sel tulang : osteoprogenitor,osteoblast, Sel tulang : osteoprogenitor,osteoblast,
osteosit,osteoclastosteosit,osteoclast
![Page 15: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/15.jpg)
PEMBAGIAN TULANGPEMBAGIAN TULANG
• JENIS : KOMPAKTAJENIS : KOMPAKTA
SPONGIOSASPONGIOSA
• MACAM :TL.PANJANG,PIPIH,PENDEKMACAM :TL.PANJANG,PIPIH,PENDEK
IMMATUR (KOLAGEN IMMATUR (KOLAGEN TIDAKTIDAK TERATUR) & TERATUR) & MATUR ( BERKAS KOLAGEN TERATUR)MATUR ( BERKAS KOLAGEN TERATUR)
• PROSES PEMBENTUKANPROSES PEMBENTUKAN
DESMALDESMAL
CHONDRALCHONDRAL
![Page 16: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/16.jpg)
MATRIKS TULANGMATRIKS TULANG
• INTERSELULER BONE MATRIX:INTERSELULER BONE MATRIX:
ORGANIC-ORGANIC- COLAGEN COLAGEN
INORGANIC INORGANIC 75 % CA.POSPAT. X-RAY 75 % CA.POSPAT. X-RAY HIDROXIAPATITES ( LAP.KERAS )HIDROXIAPATITES ( LAP.KERAS )
• SUBSTANSI DASAR : SIALOPROTEIN, SUBSTANSI DASAR : SIALOPROTEIN, PROTEOGLIKAN PROTEOGLIKAN
( CONDROITIN SULFAT& HYALURONAT)( CONDROITIN SULFAT& HYALURONAT)
• OSTEOMALACIA : CALSIFICATION OSTEOMALACIA : CALSIFICATION
![Page 17: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/17.jpg)
BONE CELLSBONE CELLS
• OSTEOPROGENITOR = STEM SEL TLOSTEOPROGENITOR = STEM SEL TL
• ASAL MESENHYMASAL MESENHYM PROOSTEOBLAST - PROOSTEOBLAST - OSTEOBLASTOSTEOBLAST
• OSTEOCLAST OSTEOCLAST ASAL MACROFAG & ASAL MACROFAG & MONOSIT. BONE RESORBING CELL, INTI MONOSIT. BONE RESORBING CELL, INTI >>>>
• OSTEOBLAST : SINTESA & SEKRESI OSTEOBLAST : SINTESA & SEKRESI MATRIKS TULANG.MATRIKS TULANG.
• OSTEOSIT: SEL TULANG.OSTEOSIT: SEL TULANG.
![Page 18: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/18.jpg)
OSSIFIKASI DESMALOSSIFIKASI DESMAL
• = OSSIFIKASI PERICHONDRAL= OSSIFIKASI PERICHONDRAL• = OSS INTRAMEMBRANOSA= OSS INTRAMEMBRANOSA• TIDAK DIDAHULUI OLEH PEMBTK TIDAK DIDAHULUI OLEH PEMBTK
TL.RAWAN.TL.RAWAN.• PROSES: MESENCHYM-PROSES: MESENCHYM-
OSTEOBLASTOSTEOBLAST OSTEOID- OSTEOID-CALSIFIKASI -CALSIFIKASI - OSTEOCYT OSTEOCYT
• Eg: calvaria,sternum ( TL.GEPENG)Eg: calvaria,sternum ( TL.GEPENG)
![Page 19: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/19.jpg)
Oss intramembran Oss intramembran (Desmal)(Desmal)
![Page 20: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/20.jpg)
osteoclastosteoclast
![Page 21: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/21.jpg)
OSSIFIKASI CHONDRALOSSIFIKASI CHONDRAL
• = OSS ENDOCHONDRAL= OSS ENDOCHONDRAL
• OSS DARI MODEL EMBRYONIC OSS DARI MODEL EMBRYONIC HYALINE CARTILAGEHYALINE CARTILAGE
• Eg: FEMUR , TIBIA,FIBULA Eg: FEMUR , TIBIA,FIBULA ( tl.panjang)( tl.panjang)
![Page 22: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/22.jpg)
Oss chondral ( endochondral)Oss chondral ( endochondral)
![Page 23: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/23.jpg)
oss chondraloss chondral
![Page 24: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/24.jpg)
HISTOPHYSIOLOGYHISTOPHYSIOLOGY
• 99 % Ca 99 % Ca Parathyroid Parathyroid
• vit.D vit.D absorbsi ca dari usus. absorbsi ca dari usus.
• Repair fracture Repair fracture hematoma – connective hematoma – connective tissue – granulasi – neutropil & granulosit tissue – granulasi – neutropil & granulosit makrofag resorpsi jar.mati – makrofag resorpsi jar.mati – fibrocartilaginous callus ( osteoclat) – fibrocartilaginous callus ( osteoclat) – callus.callus.
• Synovial fluid Synovial fluid dialisat drh. Plasma dialisat drh. Plasma ( Hyaluronat >>)( Hyaluronat >>)
![Page 25: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/25.jpg)
compact bonecompact bone
![Page 26: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/26.jpg)
SEDIAAAN GOSOK TL.DEWASASEDIAAAN GOSOK TL.DEWASA
![Page 27: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/27.jpg)
Bone fractureBone fracture
![Page 28: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/28.jpg)
Fracture femurFracture femur
![Page 29: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/29.jpg)
Repair of fractureRepair of fracture
![Page 30: JAR PENYOKONG.ppt](https://reader034.fdocument.pub/reader034/viewer/2022050709/55cf99f7550346d0339feebe/html5/thumbnails/30.jpg)
Terima kasihTerima kasih
SELAMAT BERKARYASELAMAT BERKARYA
EVERY SCIENCE BEGINS AS EVERY SCIENCE BEGINS AS PHYLOSOPHY AND ENDS AS ART;PHYLOSOPHY AND ENDS AS ART;
IT ARISES IN HYPOTHESIS AND IT ARISES IN HYPOTHESIS AND FLOWS INTO ACHIEVEMENTFLOWS INTO ACHIEVEMENT
(WILL DURANT,1926)(WILL DURANT,1926)