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Samenvatting Anatomie: alle leerpaden| Vroedkunde | Arteveldehogeschool |

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Studiemateriaal voor het anatomievak uit de opleiding Vroedkunde aan Arteveldehogeschool. In het document staan alle leerpaden behandeld

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INHOUDSOPGAVE

1.Indeling zenuwstelsel ................................................................................................................................. 12

1.1 Anatomische indeling .................................................................................................................................. 12

1.2Fysiologische indeling .................................................................................................................................. 12
1.2.1 soort integratie...................................................................................................................................... 13
1.2.2 hierarchie : ........................................................................................................................................... 13
1.2.3.Richting signaal: ................................................................................................................................... 13

Bouw van een ‘zenuw’ .................................................................................................................................... 13

soorten zenuwcellen ......................................................................................................................................... 13

Bouww van een neuron ..................................................................................................................................... 13

lokalisatie neuron in ons lichaam ....................................................................................................................... 14

3.Definities bij de anatomie van het zenuwstelsel ........................................................................................... 15

3.1witte stof en grijze stof .................................................................................................................................. 15

3.2 zenuw en tractus ......................................................................................................................................... 15
zenuw= nervus .............................................................................................................................................. 15
structuur nevus ............................................................................................................................................. 15
tractus = baan ............................................................................................................................................... 15
nucleus= kern ............................................................................................................................................... 16

5.HET RUGGENMERG = medulla spinalis......................................................................................................... 16

5.1.anatomie: dwarse doorsnede dpoor de medulla spinalis ............................................................................... 16
grijze stof ...................................................................................................................................................... 16
witte stof....................................................................................................................................................... 16

5.2.nervus spinalis ............................................................................................................................................ 17
perifeer zenuwstelsel .................................................................................................................................... 17
vegatief zenuwstelsel .................................................................................................................................... 17
parasympaticus en perifere zenuwen ............................................................................................................. 18

5.3 fysiologie van de medulla spinalis ................................................................................................................. 19

de hersenstam .............................................................................................................................................. 20

functie hersenstam ........................................................................................................................................... 20

6.2.medulla oblongata ...................................................................................................................................... 21
anatomie hersenstam.................................................................................................................................... 21

6.3.pons ........................................................................................................................................................... 22

6.4.mesencephalon .......................................................................................................................................... 23

, 6.5Formatio reticularis: ..................................................................................................................................... 23

6.6.nervi craniales ............................................................................................................................................ 24

7.cerebellum ................................................................................................................................................. 25

7.1.anatomie cerebellum ............................................................................................................................... 25
7.2.HISTOLOGIE CEREBELLUM: ..................................................................................................................... 25
7.3.functie cerebellum: coördinatie motoriek ................................................................................................. 25

8.diencephalon= tussen hersenen .................................................................................................................. 26

8.1. III ventrikel ................................................................................................................................................. 26

8.2 thalamus .................................................................................................................................................... 26

8.3hypothalamus .............................................................................................................................................. 27

8.4 hypofyse ..................................................................................................................................................... 27

8.5 epifyse: ....................................................................................................................................................... 27

9.cerebrum = grote hersenen ......................................................................................................................... 27

9.1 anatomie cerebrum ..................................................................................................................................... 27

9.3.functie van de hersenen .............................................................................................................................. 30
motoriek ....................................................................................................................................................... 30
sensoriek ...................................................................................................................................................... 31
geheugen ...................................................................................................................................................... 32
persoonlijkheid ............................................................................................................................................. 32
dromen ......................................................................................................................................................... 34

10.vegetatief zenuwstelsel............................................................................................................................. 34

orthosyspaticus vs parasympaticus ............................................................................................................... 35

meningen ......................................................................................................................................................... 35
pia mater ...................................................................................................................................................... 36
dura mater .................................................................................................................................................... 36
epidurale ruimte ............................................................................................................................................ 36
structuur nervus ............................................................................................................................................ 36
durazak ........................................................................................................................................................ 37
arachnoidea.................................................................................................................................................. 37
Sub- archnoidale ruimte met liquor cerebrospinalis Granulaties = vlokken in durasinus = opname liqur ............ 37

hersenventrikels en liquor cerebrospinalis ......................................................................................................... 37
hersenventrikels............................................................................................................................................ 37
liquor cerebrospinalis .................................................................................................................................... 38

bloedvaten van de hersenen .............................................................................................................................. 38

de verschillende banen .................................................................................................................................. 39

dorsaal systeem= fasciculus gracilis en fasiculus cuneatus ................................................................................ 39

tractus spinothalamicus lateralis ....................................................................................................................... 40

pyramidale banen ............................................................................................................................................. 41

, extrapyramidale banen ..................................................................................................................................... 41

oefeningen ....................................................................................................................................................... 41

pijnfysiologie ................................................................................................................................................. 42

pijn .................................................................................................................................................................. 42

pijn bij de bevalling ............................................................................................................................................ 42

Functie pijn ...................................................................................................................................................... 43

oorzaken pijn .................................................................................................................................................... 43

waarneming pijn ............................................................................................................................................... 43

van receptor naar vezel ..................................................................................................................................... 43

twee klassen van nociceptor ............................................................................................................................. 44
A-delta vezels................................................................................................................................................ 44
C-vezels........................................................................................................................................................ 44

stimuli die nocireceptoren activeren .................................................................................................................. 44

bij een weefselbeschadiging .............................................................................................................................. 44

na korte tijd ...................................................................................................................................................... 45

substancia P ..................................................................................................................................................... 45

verder verloop somatosensorisch zenuwstelsel .................................................................................................. 45

autonoom zenuwstelsel .................................................................................................................................... 46

neuromodulatie bij pijn .................................................................................................................................. 46

eiwitten ......................................................................................................................................................... 47

albumine .......................................................................................................................................................... 47

globulinen ........................................................................................................................................................ 47

fibrogeen .......................................................................................................................................................... 47

hormonen ........................................................................................................................................................ 47

rol in plasma ..................................................................................................................................................... 48

CRP= c reactief proteine .................................................................................................................................... 48

anorganische stoffen ..................................................................................................................................... 48

natrium ............................................................................................................................................................ 48
hoeveelheid natrum in bloedbaan(Natriëmie) is afhankelijk van: ...................................................................... 48

kalium .............................................................................................................................................................. 49
metabole acidose.......................................................................................................................................... 49
metabole alkalose ......................................................................................................................................... 49
hypokaliëmie ................................................................................................................................................ 49
hyperkaliëmie ............................................................................................................................................... 49
kalium eliminatie is afhankelijk van: ............................................................................................................... 49

calcium ............................................................................................................................................................ 50

, fosfor ............................................................................................................................................................... 50

co2 .................................................................................................................................................................. 50
gas in oplossing ............................................................................................................................................. 50
vorming van bicarbonaat ............................................................................................................................... 51
CO2 in de erytrocyt ( rode bloedcel)................................................................................................................ 51

Co2 reageert met HB ......................................................................................................................................... 51

H2co3/HCO3- .................................................................................................................................................. 51

bloedanalyse anorganische bestanddelen...................................................................................................... 52

natrium ............................................................................................................................................................ 52

kalium .............................................................................................................................................................. 52

bloedcellen ................................................................................................................................................... 52

erythrocyt (rbc) ................................................................................................................................................. 52
aantal erythrocyten ....................................................................................................................................... 52
gehalte aan hemoglobine (hb) ........................................................................................................................ 53
functie rbc .................................................................................................................................................... 53
vervoer van Co2 door RBC.............................................................................................................................. 54
Erythropoëse ................................................................................................................................................ 54
hemolyse ...................................................................................................................................................... 54

bloedanalyse................................................................................................................................................. 55

mcv.................................................................................................................................................................. 55

thrombocyten ................................................................................................................................................... 55
Aanmaak thrombocyten in rood beenmerg ..................................................................................................... 55
afbraak thrombocyten ................................................................................................................................... 56
functie thrombocyten .................................................................................................................................... 56

leucocyten ....................................................................................................................................................... 56
soorten leucocyten........................................................................................................................................ 56
aanmaak van granulocyten (=leucopoïese) ..................................................................................................... 57
monocyten: rood beenmerg ........................................................................................................................... 57
lymfocyten .................................................................................................................................................... 57
functie van leucotyten ................................................................................................................................... 58

monocyten ....................................................................................................................................................... 58

neutrofielen ...................................................................................................................................................... 60
opsonisatie ................................................................................................................................................... 60

lymfocyten ....................................................................................................................................................... 61
b lymfocyten ................................................................................................................................................. 61
t lymfocyten .................................................................................................................................................. 61

verdedigingssysteem van de mens ................................................................................................................. 61

specifieke vs aspecifieke immuniteit .................................................................................................................. 62

aspecifieke humorale immunieit ........................................................................................................................ 62
lysozym ........................................................................................................................................................ 62

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