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samenvatting ziekenhuis deel 1 thema 7 Zorgvragers met aandoeningen aan de borsten en de buikwand

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samenvatting ziekenhuis deel 1 thema 7 Zorgvragers met aandoeningen aan de borsten en de buikwand

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Thema 7: Zorgvragers met aandoeningen aan de borsten en
de buikwand
Hoofdstuk 24 Chirurgische ingrepen aan de borst

Anatomie van de borst
De borst bestaat voor een deel uit:
 Klierweefsel (glandula mammaria)
- Loopt onder de huid door tot in de oksel
- Opgebouwd uit twaalf tot twintig klierlobjes
- Klierlobjes: Hebben ieder hun eigen afvoergang.
 Onderhuids bindweefsel met vetweefsel
 Bloedvaten
 Lymfevaten

- Tepel = papilla mammae
Hierin bevinden zich 12 tot 20 porievormige openingen.
- Tepelhof = areola mammae
Hierop bevinden zich 10 tot 15 talgkliertjes.

Bindweefselschotten = Zorgen voor de stevigheid van de borst.
Borstklier wordt, zowel bij jongens als meisjes aangelegd.
Als je ouder wordt, neemt het bind -, klier – en vetweefsel in kwaliteit af.

De borst wordt van bloed voorzien door:
 Takken van slagaders uit de oksel en van de borstkas.
Oksel = arteria axillaris
Borstkas = arteria thoracalis
 Takken van de slagader van de borst die tussen de ribben liggen.
Borst = arteria mammaria interna
 De slagaders van de tussenribspieren.
Tussenribspieren = arteriae intercostales
Aders = venae
Slagaders = arteriae

Door de borst lopen enkele belangrijke zenuwen:
 Zenuwen van de grote en kleine borstspier (nervi pectorales)
 Zenuwen van de borstkas
 De zenuwen lopend in de oksel die de binnenzijde van de bovenarm verzorgen.

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