integumentary system - departemen …...laboratorium anatomi histologi fk ub pendahuluan struktur...
TRANSCRIPT
![Page 1: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/1.jpg)
INTEGUMENTARY
System
Laboratorium Anatomi Histologi
FK UB
![Page 2: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/2.jpg)
PENDAHULUAN
STRUKTUR
FISIOLOGI
EPIDERMIS
DERMIS
HIPODERMIS
STRUKTUR2 ASESORIS
TIPE
GAMBARAN UMUM
TERMINOLOGY
![Page 3: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/3.jpg)
• 7 - 8 % total body mass
• Organ terbesar dalam sistem tubuh manusia
• Ketebalan: 1,5 -4,4 mm
• Menutupi seluruh permukaan tubuh
• Bervariasi
PENDAHULUAN
![Page 4: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/4.jpg)
STRUKTUR EPIDERMIS
DERMIS
HIPODERMIS
STRUKTUR2 ASESORIS
TIPE
GAMBARAN UMUM
![Page 5: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/5.jpg)
GAMBARAN UMUM
Mengandung SEMUA jaringan dasar
nails
![Page 6: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/6.jpg)
EPIDERMIS • tdd : epithel squamous complex dg kornifikasi
• avascular
• Innervasi : free nerve end tanpa kapsul
• 4 - 5 lapis :
– Str. Corneum : tdd >> lapisan keratinosit mati
– Str. Lucidum ( + )
– Str. Granulosum : berperan dalam mencegah dehidrasi
– Str. Spinosum : beberapa lapis keratinosit dg kecepatan
mitosis lbh rendah. Berperan dlm strength and flexibility
– Str. Basale : supplier keratinocyte str germinativum
![Page 7: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/7.jpg)
Str.Corneum
Str.lucidum
Str.Granulosum
Str.Spinosum
Str.Basale
EPIDERMIS
![Page 8: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/8.jpg)
EPIDERMIS
SEL :
– Keratinocyte :
Sel utama
epidermis
Produksi keratin
– Melanocyte :
sintesa melanin
– Langerhans :
berperan dlm sistem
imun
– Merkel :
mechano-receptor
![Page 9: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/9.jpg)
EPIDERMIS
![Page 10: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/10.jpg)
Sensory Receptor in The Skin
Free nerve
endings
>>fingertips, lips
![Page 11: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/11.jpg)
EPIDERMIS
EPIDERMAL-
DERMAL
JUNCTION
![Page 12: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/12.jpg)
DERMIS
• Jaringan ikat irreguler
• vascular
• >> free nerve end, reseptor sensoris
berkapsul, serabut autonom untuk VSMC
• Mengandung folikel rambut, kelenjar,
pembuluh darah, limfatik, & saraf
• lebih tebal dr epidermis
![Page 13: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/13.jpg)
• lapisan :
– papillary layer : dg anyaman kapiler maintenance
• Ada tonjolan2, dg nerve ending (Meissner)
• Mengandung kapiler
– reticular layer : dg anastomose arteriovenosus
• strength, extensibility & elasticity
• Struktur asesoris (Dermal appendages)
DERMIS
![Page 14: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/14.jpg)
• bukan kulit
• tdd j.i longgar dan lemak
• fascia subcutanea / panniculus
adiposus
HYPODERMIS
![Page 15: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/15.jpg)
TIPE Kulit TEBAL Kulit TIPIS
Lokasi Telapak tangan & kaki Bagian tubuh lain
tebal 0,8 – 1,4 mm 0.07 – 1,12 mm
EPIDERMIS
Str. corneum 15- 40 lapis 10 – 20 lapis
Str. lucidum + p.u -
Str. granulosum Bbrp lapis 1, p.u diskontinu
Str. basale >> Merkel cell <<
Dermatoglifi + -
Karakteristik
T I P E Berdasar ketebalan & struktur histologi
![Page 16: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/16.jpg)
DERMIS Kulit TEBAL Kulit TIPIS
Rambut - +,
(kcl : glans penis, labia
minora, clitoris,
bibir)
Klj. Cebacea << >>
Klj. Keringat >> <<
Meissner >> <<
Serabut
elastik
<< >>
Dermal-epidermal junction
•Basement membrane, di bawah str. Basale
•Interdigitasi dermal papillae – epidermal ridges
![Page 17: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/17.jpg)
TEBAL TIPIS
![Page 18: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/18.jpg)
Berdasar sensitivitas terhadap UltraViolet
Always burn, never tan
Always burn, sometimes tan
sometimes burn, sometimes tan
sometimes burn, always tan
Never burn, sometimes tan
Never burn, always tan
Fitzpatrick’s classification
![Page 19: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/19.jpg)
– hair
– nails
– exocrine glands :
sebacea (lemak),
sudorifera (keringat)
Dr dermis epidermis
STRUKTUR ASESORIUS
![Page 20: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/20.jpg)
RAMBUT
• Shaft -- visible
• Root -- below the surface
• Follicle surrounds root
– external root sheath
– internal root sheath
– base of follicle is bulb
• blood vessels
• germinal cell layer
![Page 21: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/21.jpg)
![Page 22: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/22.jpg)
tipe RAMBUT
• Lanugo : 3rd month s.d lahir
• Dewasa :
– Vellus : halus, di hampir seluruh permukaan tubuh
– Intermediate : di extremitas
– Terminal : tebal, lebih berpigmen, kadang ikal.
Termasuk alis dan “bulu” mata
• ! Warna rambut ditentukan oleh densitas melanin di
cortex
![Page 23: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/23.jpg)
Struktur terkait dengan
rambut:
• M. Arrector pili
– smooth muscle in
dermis contracts
with cold or fear.
– forms goosebumps
as hair is pulled
vertically
• glands
![Page 24: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/24.jpg)
! Perubahan pd
kuku dapat
mengindikasan
adanya suatu
kondisi patologis
(ex : icteric,
cyanosis)
KUKU
![Page 25: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/25.jpg)
Kelenjar eksokrin
![Page 26: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/26.jpg)
![Page 27: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/27.jpg)
– PROTEKSI :
• Sbg barrier thd mikroba, toxic subs, radiasi,
benturan, tekanan
• Via sistem imun
– Regulasi suhu tubuh
– Sensoris
– Ekskresi
– Metabolisme vit D (pro-vitamin D berada di kulit)
– “ Water retention”
– etc
Fungsi Umum
![Page 28: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/28.jpg)
Fungsi Umum
![Page 29: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/29.jpg)
Sistem Keratinisasi :
• cell renewal (aktivitas mitosis) : di germinativum &
spinosum
• diferensisasi (keratinisasi) : dr germinativum ke atas
• death cell : lucidum ke atas
• Durasi : 15-30 hr secara bergeombang,
• kedalaman & tahap berbeda gambaran berlapis dan
bergelombang
Tahap : (tumpang tindih)
– Mitosis
– Diferensiasi
– Apoptosis
– Exfoliasi
![Page 30: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/30.jpg)
Faktor :
• pigmen melanin & carotin
• ketebalan epidermis
• pembuluh darah dermis
• warna darah pd pembuluh
• genetik
Melanin
• sintesa oleh melanosit
• macam :
– eumelanin : warna : coklat gelap. Di epidermis, iris,
rambut hitam & coklat
– pheomelanin : warna kuning kemerahan
Sistem Pigmentasi
![Page 31: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/31.jpg)
• Jumlah melanosit/unit area sama pada semua jenis
warna kulit. Yang membedakan warna kulit :
– Kecepatan sintesa melanin
– Kecepatan akumulasi
– Kecepatan degradasi
• Fungsi melanin
– Perlindungan.
– Cara : absorbsi radikal bebas
Melanosit
![Page 32: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/32.jpg)
Penyebab2 peningkatan sintesa melanin :
• paparan ultraviolet
• Hormon : MSH, estrogen, ACTH
• Obat2an : chloroquin, khemoterapi
• Polusi : logam berat
• Postinflamasi
![Page 33: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/33.jpg)
Terutama akibat pengaruh hormon
Hormon yang terlibat : estrogen, MSH
(meningkat t.u trimester III)
pengaruh :
Melanocyte lebih besar, lebih aktif
Sirkulasi & neovaskularisasi
Klinis :
Melasma gravidarum / Chloasma
Linea nigra
Fisiologi Sistem Integumen dalam Kehamilan
![Page 34: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/34.jpg)
![Page 35: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/35.jpg)
SKIN VS AGING
![Page 36: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/36.jpg)
Jenis “Skin aging” • Intrinsic aging – true aging
– Fisiologis, sesuai waktu.
– Banyak dipengaruhi scr genetik
– Cx : kerusakan endogen oleh ROS (reactive oxygen
species), yg dihasilkan dlm metabolisme oksidatif
seluler
• Extrinsic aging
– Krn paparan lingkungan eksternal.
– Ex : p.u UV light ( photoaging). Lain : radiasi ion,
stress fisik dan psikis, alkohol,gizi kurang,obesitas,
polusi lingkungan.
![Page 37: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/37.jpg)
Intrinsic aging
![Page 38: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/38.jpg)
Manifestasi :
• Kerutan (Fx : otot, subkutan, gravitasi, tulang, & kartilago)
• Xerosis
• Laxity (longgar)
• Slackness (kendur, tidak elastis)
• Tumor jinak
![Page 39: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/39.jpg)
![Page 40: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/40.jpg)
• Disebabkan oleh UVB (290–320 nm), dan UVA
(320–400 nm)
• UVB menyebabkan perubahan pada epidermis
merusak DNA pada keratinocytes dan
melanocytes. Lebih bersifat “membakar”.
• UVA penetrasi lebih dalam (s.d dermis) ROS.
Lebih berperan dalam photoaging.
• Efek rokok : cigarette skin
Extrinsic aging
![Page 41: INTEGUMENTARY System - DEPARTEMEN …...Laboratorium Anatomi Histologi FK UB PENDAHULUAN STRUKTUR FISIOLOGI EPIDERMIS DERMIS HIPODERMIS STRUKTUR2 ASESORIS TIPE GAMBARAN UMUM TERMINOLOGY](https://reader033.vdocuments.mx/reader033/viewer/2022041821/5e5e3d1079685929720b502d/html5/thumbnails/41.jpg)
TERIMA KASIH
Available @ : anatomi.lecture.ub.ac.id