Inhoudsopgave
Tractus Uropoetcus (7)..........................................................................................................................3
Anatomie tractus uropoetcus............................................................................................................3
Micte en urine egen tijens je z angerschap.................................................................................5
Fysiologie tractus uropoetcus............................................................................................................5
Veranjering z angerschap:...............................................................................................................8
Vochtbalans neonaat:.......................................................................................................................11
Samenstelling urine:.........................................................................................................................11
Urine eginfecte en ABS..................................................................................................................12
Nierstenen........................................................................................................................................13
Urethrits..........................................................................................................................................13
Shocknier..........................................................................................................................................14
Retenteblaas....................................................................................................................................14
Geneesmijjelen...............................................................................................................................14
Micte kraamperioje........................................................................................................................15
Moejer.........................................................................................................................................15
Neonaat........................................................................................................................................16
Embryologie tractus genitalis en uropoetcus (5).................................................................................16
Embryologie tractus uropoetcus......................................................................................................16
Congenitale af iikingen nieren........................................................................................................19
Embryologie tractus genitalis...........................................................................................................20
Embryologie manneliike genitalia.....................................................................................................21
Embryologie vrou eliike genitalia....................................................................................................22
Differentate genitalia......................................................................................................................22
Mannen:.......................................................................................................................................22
Vrou en:......................................................................................................................................23
Congenitale af iikingen genitaliën...................................................................................................23
Tractus genitalis (2)..............................................................................................................................25
Anatomie man:.................................................................................................................................25
Anatomie vrou ...............................................................................................................................25
Pathogenese tractus genitalis...........................................................................................................26
Uterus myomatosus.....................................................................................................................27
Steeljraai ovarium........................................................................................................................27
Uterus prolaps..................................................................................................................................27
1
,(Sub)Totaalruptuur (4)..........................................................................................................................29
Verhoogj risico totaalruptuur:.........................................................................................................29
Mogeliik verhoogj risico totaalruptuur:...........................................................................................29
Gevolgen...........................................................................................................................................29
Secto Caesarea (5)...............................................................................................................................30
Injicates..........................................................................................................................................30
Techniek...........................................................................................................................................30
Complicates.....................................................................................................................................31
Prognose...........................................................................................................................................31
Bloejverlies in het 1e trimester (3).......................................................................................................32
Differentaal Diagnose bloejverlies 1e trimester:.............................................................................32
Miskraam..........................................................................................................................................32
Ver iizing.....................................................................................................................................34
Mola gravijiteit (mola hyjatjosa):..................................................................................................34
Extra uterine gravijiteit (EUG):.........................................................................................................34
Seksueel overjraagbare aanjoeningen (SOA’s) (10)............................................................................36
Chlamyjia trachomats.....................................................................................................................36
Gonorroe..........................................................................................................................................37
Trichomonas.....................................................................................................................................39
Pejiculosis pubis (schaamluis)..........................................................................................................40
Scabiës (schurf)...............................................................................................................................41
Herpes simplex virus (HSV)...............................................................................................................42
Humaan papillomavirus (HPV)..........................................................................................................45
Syflis (lues).......................................................................................................................................47
Bacteriële vaginose...........................................................................................................................48
Canjija Albicans..............................................................................................................................49
Vulvits..............................................................................................................................................49
Vaginits............................................................................................................................................49
Cervicits...........................................................................................................................................50
Salpingits..........................................................................................................................................50
PID (Pelvic Infammatory Disease)...................................................................................................51
Voorkomen SOA/infecte..................................................................................................................51
Inleijen baring (3)................................................................................................................................53
Injicates inleijen.............................................................................................................................53
Injucte baring..................................................................................................................................53
Antconcepte (7)..................................................................................................................................57
2
, Natuurliike methojen......................................................................................................................57
Barrièremethojen............................................................................................................................58
Hormonale antconcepte.................................................................................................................59
Defniteve methojen.......................................................................................................................62
Sterilisate vrou ..........................................................................................................................62
Morning-afer pil..............................................................................................................................62
Recept antconcepte........................................................................................................................62
Menstruele cyclus.............................................................................................................................63
Menarche.........................................................................................................................................63
Menopauze.......................................................................................................................................63
De post-menopauze.....................................................................................................................64
Abortus Provocatus..............................................................................................................................64
Techniek van het afreken van je z angerschap bii abortus provocatus........................................64
Instrumentele abortus......................................................................................................................65
Mejicamenteuze abortus.................................................................................................................66
Statstsch toetsen (4)...........................................................................................................................67
Z-verjeling........................................................................................................................................70
Tractus Uropoeticus (7)
Anatomie tractus uropoeticus
3
, Per nier circa 1 milioen nefronen.
Vaten:
o Afferente arteriole glomerulus efferente arteriole peritubulaire vaten venulen
vena renalis
Buizen:
o Kapsel van Bo man proximale tubulus lis van Henle jistale tubulus juctuli
colligentes (verzamelbuis) juctus colligens (nierbekken)
Renal corpuscle of lichaampie van Malpighi bestaat uit:
- Kapsel van Bo man
- Glomerulus
- Bosman’s space (kapselruimte)
Vormt een fltraat van bloej jat vrii is van cellen, grote polypeptjen en ei iten.
Ureters
- Drie lagen:
1. Mucosa – transitoneel epitheel
2. Muscularis – glajje spiercellen
+ contraheren in reacte op strekking
+ stu en urine richtng je blaas
3. Ajventta – binj eefsel laag
Blaas
o Trigonum:
- jriehoekige regio afgebaken joor je openingen van je ureters en urethra
4
Tractus Uropoetcus (7)..........................................................................................................................3
Anatomie tractus uropoetcus............................................................................................................3
Micte en urine egen tijens je z angerschap.................................................................................5
Fysiologie tractus uropoetcus............................................................................................................5
Veranjering z angerschap:...............................................................................................................8
Vochtbalans neonaat:.......................................................................................................................11
Samenstelling urine:.........................................................................................................................11
Urine eginfecte en ABS..................................................................................................................12
Nierstenen........................................................................................................................................13
Urethrits..........................................................................................................................................13
Shocknier..........................................................................................................................................14
Retenteblaas....................................................................................................................................14
Geneesmijjelen...............................................................................................................................14
Micte kraamperioje........................................................................................................................15
Moejer.........................................................................................................................................15
Neonaat........................................................................................................................................16
Embryologie tractus genitalis en uropoetcus (5).................................................................................16
Embryologie tractus uropoetcus......................................................................................................16
Congenitale af iikingen nieren........................................................................................................19
Embryologie tractus genitalis...........................................................................................................20
Embryologie manneliike genitalia.....................................................................................................21
Embryologie vrou eliike genitalia....................................................................................................22
Differentate genitalia......................................................................................................................22
Mannen:.......................................................................................................................................22
Vrou en:......................................................................................................................................23
Congenitale af iikingen genitaliën...................................................................................................23
Tractus genitalis (2)..............................................................................................................................25
Anatomie man:.................................................................................................................................25
Anatomie vrou ...............................................................................................................................25
Pathogenese tractus genitalis...........................................................................................................26
Uterus myomatosus.....................................................................................................................27
Steeljraai ovarium........................................................................................................................27
Uterus prolaps..................................................................................................................................27
1
,(Sub)Totaalruptuur (4)..........................................................................................................................29
Verhoogj risico totaalruptuur:.........................................................................................................29
Mogeliik verhoogj risico totaalruptuur:...........................................................................................29
Gevolgen...........................................................................................................................................29
Secto Caesarea (5)...............................................................................................................................30
Injicates..........................................................................................................................................30
Techniek...........................................................................................................................................30
Complicates.....................................................................................................................................31
Prognose...........................................................................................................................................31
Bloejverlies in het 1e trimester (3).......................................................................................................32
Differentaal Diagnose bloejverlies 1e trimester:.............................................................................32
Miskraam..........................................................................................................................................32
Ver iizing.....................................................................................................................................34
Mola gravijiteit (mola hyjatjosa):..................................................................................................34
Extra uterine gravijiteit (EUG):.........................................................................................................34
Seksueel overjraagbare aanjoeningen (SOA’s) (10)............................................................................36
Chlamyjia trachomats.....................................................................................................................36
Gonorroe..........................................................................................................................................37
Trichomonas.....................................................................................................................................39
Pejiculosis pubis (schaamluis)..........................................................................................................40
Scabiës (schurf)...............................................................................................................................41
Herpes simplex virus (HSV)...............................................................................................................42
Humaan papillomavirus (HPV)..........................................................................................................45
Syflis (lues).......................................................................................................................................47
Bacteriële vaginose...........................................................................................................................48
Canjija Albicans..............................................................................................................................49
Vulvits..............................................................................................................................................49
Vaginits............................................................................................................................................49
Cervicits...........................................................................................................................................50
Salpingits..........................................................................................................................................50
PID (Pelvic Infammatory Disease)...................................................................................................51
Voorkomen SOA/infecte..................................................................................................................51
Inleijen baring (3)................................................................................................................................53
Injicates inleijen.............................................................................................................................53
Injucte baring..................................................................................................................................53
Antconcepte (7)..................................................................................................................................57
2
, Natuurliike methojen......................................................................................................................57
Barrièremethojen............................................................................................................................58
Hormonale antconcepte.................................................................................................................59
Defniteve methojen.......................................................................................................................62
Sterilisate vrou ..........................................................................................................................62
Morning-afer pil..............................................................................................................................62
Recept antconcepte........................................................................................................................62
Menstruele cyclus.............................................................................................................................63
Menarche.........................................................................................................................................63
Menopauze.......................................................................................................................................63
De post-menopauze.....................................................................................................................64
Abortus Provocatus..............................................................................................................................64
Techniek van het afreken van je z angerschap bii abortus provocatus........................................64
Instrumentele abortus......................................................................................................................65
Mejicamenteuze abortus.................................................................................................................66
Statstsch toetsen (4)...........................................................................................................................67
Z-verjeling........................................................................................................................................70
Tractus Uropoeticus (7)
Anatomie tractus uropoeticus
3
, Per nier circa 1 milioen nefronen.
Vaten:
o Afferente arteriole glomerulus efferente arteriole peritubulaire vaten venulen
vena renalis
Buizen:
o Kapsel van Bo man proximale tubulus lis van Henle jistale tubulus juctuli
colligentes (verzamelbuis) juctus colligens (nierbekken)
Renal corpuscle of lichaampie van Malpighi bestaat uit:
- Kapsel van Bo man
- Glomerulus
- Bosman’s space (kapselruimte)
Vormt een fltraat van bloej jat vrii is van cellen, grote polypeptjen en ei iten.
Ureters
- Drie lagen:
1. Mucosa – transitoneel epitheel
2. Muscularis – glajje spiercellen
+ contraheren in reacte op strekking
+ stu en urine richtng je blaas
3. Ajventta – binj eefsel laag
Blaas
o Trigonum:
- jriehoekige regio afgebaken joor je openingen van je ureters en urethra
4
