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ANATOMI & FISIOLOGI

SISTEM
PERKEMIHAN /GU
URINARY SISTEM ANATOMY
FUNGSI
KIDNEY
URETERS
BLADER
URETRA
FACT ABOUT URINE
FUNGSI SISTEM PERKEMIHAN
§
Bekerja bersama paru-paru, kulit dan usus
halus untuk menjaga keseimbangan
cairan tubuh dan zat yang terlarut

§ Mengekskresi zat buangan tubuh


terutama urea dari darah

§ Menyimpan nutrien, mengkonversi vitamin


D menjadi lebih “water solube”

§ Mengatur keseimbangan asam basa

§ Mensekresi hormon yang membantu


mengatur tekanan darah, erithropoietin
dan metabolisme kalsium

§ Membentuk urin:
§ Air 96%
§ Urea 2%
§ Uric acid & salt 2%
ANATOMI LAKI2 DAN PEREMPUAN
ANATOMI SISTEM PERKEMIHAN WANITA
ANATOMI SISTEM PERKEMIHAN PRIA
KIDNEYS
§ 2 kidneys - a pair of
purplish-brown organs
located below the ribs
toward the middle of
the back.

§ Their function is to:


§ remove liquid waste
from the blood in the
form of urine
§ keep a stable balance
of salts and other
substances in the
blood
§ produce
erythropoietin, a
hormone that aids the
formation of red blood
cells
URETERS
§ 2 ureters - narrow tubes
that carry urine from the
kidneys to the bladder.

§ Muscles in the ureter


walls continually tighten
and relax forcing urine
downward, away from
the kidneys. If urine
backs up, or is allowed
to stand still, a kidney
infection can develop.

§ About every 10 to 15
seconds small amounts
of urine are emptied
into the bladder from
the ureters.
BLADDER
• Bladder - a triangle-
shaped, hollow organ
located in the lower
abdomen. It is held in
place by ligaments
that are attached to
other organs and the
pelvic bones.

• The bladder's walls


relax and expand to
store urine, and
contract and flatten to
empty urine through
the urethra. The typical
healthy adult bladder
can store up to two
cups of urine for 2 to 5
hours.
MUSCLES
• 2 sphincter
muscles - circular
muscles that help
keep urine from
leaking by closing
tightly like a rubber
band around the
opening of the
bladder.
URETHRA
• urethra - the tube that
allows urine to pass
outside the body.
The brain signals the
bladder muscles to
tighten, which squeezes
urine out of the bladder.
At the same time, the
brain signals the sphincter
muscles to relax to let
urine exit the bladder
through the urethra.

• When all the signals occur


in the correct order,
normal urination occurs.
FACTS ABOUT URINE
§ Adults pass about a quart and
a half of urine each day,
depending on the fluids and
foods consumed.

§ The volume of urine formed at


night is about half that formed
in the daytime.

§ Normal urine is sterile. It


contains fluids, salts and
waste products, but it is free
of bacteria, viruses and fungi.

§ The tissues of the bladder are


isolated from urine and toxic
substances by a coating that
discourages bacteria from
attaching and growing on the
bladder wall.
References

ž Carmel JE; Colwell JC and Goldberg MT (2016).


Wound, Ostomy and Continence Nurse Society core
curriculum. Ostomy management. Philaedelphia :
Wolters Kluwer

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