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Anatomi Endokrin Mei 2014

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    Anatomy of the

    Endocrine System

    Oleh : Chodidjah

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    LEARNING OBJECTIVES

    •  At the end of the lecture, students should be

    able to d escribe :

    The position and structur of the glands of

    endocrine system:hypothalamus, pituitary,pineal, thyroid, para thyroid, adrenal,

    pancreas, ovarium, testis

     The structures of Hypothalamus related to

    the pituitary gland.

     Hormones which producing of endocrine

    system

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    LEARNING OBJECTIVES

     the structures of hypothalamus related 

    to the pituitary gland.

    • Describe the blood supply of endocrine

    system gland .

    •Describe the blood supply of pituitarygland & the hypophyseal portal system.

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    LEARNING OBJECTIVES

    •  The nervous system of endocrine

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    the Endocrine System• The endocrine system ismade up of seen di!erent

    "#ands that ma$e chemica#sca##ed %OR&ONES'

    •%OR&ONES are su(stancesthat act as mesen"er tocontro# many (ody function'

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      The endocrine system ma$es

    more the )* mayor hormonesthat he#p contro#+

    • Gro,th

    • Reproduction• Se-sua# dee#opment

    • .se and Stora"e of ener"y

    • Responses to physica# stress ortrauma

    • Lee# of /uid sa#t and su"ar in

    (#ood

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    GLANDS OF ENDOCRINESYSTEM

    • Hypothalamus

    • Pineal

    • Pituitary

    • Thymus

    • Thyroid

    • Para thyroid

    • Adrenal• Pancreas

    • Gonade ( Ovarium and Testis)

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    %01OT%ALA&.S

    The hypotha#amusis #ocated in thecenter of the (rain'

    It ma$es hormonesthat increase or

    decrease the re#easeof the hormonesmade in thepituitary "#and ita#so ma$eshormones that he#p

    to contro# ,ater(a#ance2 s#eep2temperature2appetide and (#oodpressure'

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    Hormones Which produced by hypothalamus

    Releasing Hormones RH!

    "rowth Hormone RH

    "onadotrophin RH

    Thyrotropin RH

    #rolactin RH

    $orticotropin RH

    Release% inhibiting Hormones:

    omatostatin

    Dopamin

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    1IT.ITAR0 GLAN34%01O1%0SIS CEREBRI5

    't is referred to as the master of endocrine glands.

    't is a small oval structure ( cm in diameter.

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    't lies in the middle cranial fossa

    1OSITION

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     it lies between optic chiasma anteriorly! &

    mamillary bodies posteriorly!.

    &ami##ary (od

    ptic chiasma

    Body of sphenoi

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    )#*R'+R: Diaphragma

    sellae'-*R'+R: phenoidal air

    sinuses

     /T*R/: $avernous

    sinuses

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    S.B3IVISIONS O6 1IT.ITAR0 GLAN3

    The gland is divided into:(! /nterior lobe /denohypophysis!: it is the True gland, ecretes

    hormones

    0! #osterior lobe eurohypophysis!: connected to hypothalamus

    through hypothalamo%hypophyseal tract, tores hormones secreted by

    hypothalamic nuclei

      ypothalamo-hypophyseal

    tract

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    BLOO3 S.11L0 O6 1IT.ITAR0 GLAN3

    /RT*R'*: uperior & inferior hypophyseal arteries branches

    of internal carotid artery!

    1*': Hypophyseal veins drain into $avernous inuses.

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     ARTERIES

    uperior hypophyseal: supplies infundibulum & forms a capillary

    networ2 from which vessels pass downward & form sinusoids into the

    anterior lobe of pituitary gland hypophyseal portal system!.'nferior hypophyseal: supplies posterior lobe of pituitary gland.

    a hypothalamo-hypophsealportal essel

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    Hormone%releasing &

    inhibiting factors

    produced byhypothalamus use

    Hypophyseal #ortal

    ystem of vessels toreach the /nterior

    lobe of pituitary gland

    ANTERIOR

    LOBE

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    The neurohypophysis

    receives a nerve supply fromsome of the hypothalamic

    nuclei (supraoptic &

    paraventricular )

    The axons of these nuclei

    convey their neurosecretion

    to the Posterior lobe of

    pituitary gland throughHypothalamo-Hypophyseal

    tract from where it passes into

    the blood stream.

    1OSTERIORLOBE

    , c

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    , cproducin" ofanteriorpituitary "#ands

    - Growth hormone

    ( GH)

    - uteini!in" hormone

    (H)

    - #ollicle $timulatin"hormone (#$H)

    - Thyrotropin hormone

    (T$H)

    - Prolactin (P%)

    - Adrenocorticotropichormone ( ACTH)

    - &elanocye- stimulatin"

    hormone ( &$H)

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    !OSTERIOR !IT"ITARY#ORMONES

    O'TOC

    *A$OP%+$$ ( Anti ,iuretic

    HormonesA,H. Ar"inin

    *asopressinA*P.or Ar"ipressin)

    !osterior pituitary hormones are sinthesed /ythe hypothalamus0 They are than store in

    neurosecretory vesicles /e1ore secreted /y

    pituitary into /lood stream0

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    1INEAL "#and7pinea# (ody

    The pinea# "#and#ocated in thecentre of the (rain2to the (et,een thecere(ra#

    hemisphereattached to thethird entric#e

     It produced theme#atonin hormone2,ith is used the(ody to $eepnorma# (ody s#eepcyc#e '

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    The ThyroidG#and

    2rownish-red and so1t

    durin" li1e 0

    ocated in the nec3 /elow

    the laryn4 . and anterior to

    the trachea

    5sually wei"hs a/out 67-89"(lar"er inwomen)

    $urrounded /y a thin.

    1i/rous capsule o1 connective

    tissue

    +4ternal to this is 1ormed /y

    pretracheal 1ascia

    %i"ht and le1t lo/es are

    connected /y /and o1 tissue

    called isthmus0

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    sthmus: e4tends across the

    trachea anterior to second and

    third tracheal cartila"es

    Pyramidal lo/ee4ists.

    ascendin" 1rom the isthmus

    towards hyoid /one

    ies deep to sternothyroidand

    sternohyoid muscles

    Parathyroid "lands usually lie

    /etween posterior /order o1

    thyroid "land and its sheath

    nternal ju"ular vein and

    common carotid arterylie

    postero-lateral to thyroid

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    ARTERIAL S.11L0 

    Arterial supply 1rom

    superior and in1erior

    thyroid arteries

     ;lie /etween capsule and

    pretracheal 1ascia (1alse

    capsule)

    - all thyroid arteries

    anastomose with one

    another on and in the

    su/stance o1 the thyroid./ut little anastomosis

    across the median plane 0

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    1ARAT%0ROI3GLAN3

    #our parathyroid "land are1ound near the posterior

    aspect o1 the thyroid "land0

    They are small 69 -

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    A3RENAL GLAN37S.1RARENALGLAN3

    The adrenal "land is a smalltri an"ular "land located on

    top o1 the 3idney0

    Adrenal "lands are oran"e

    colored endocrine "lands

    that are a/out

    =.7 4 8 inch0

    The "land consist s o1 a

    medulla and is surrounded

    /y corte40

    t is responsi/le 1or

    producin" epinephrin andnor epinephrin . as well as

    the hormones related with

    stress thou"ht the process o1

    corticosteroids0

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    A3RENAL GLAN3

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    • O$e the ma%$ &'$(t%o$ o& the a)re$al*la$) %s to +or, +%th thehypothalam's a$) the p%t'%tary

    •  The hypothalam's pro)'(e)(ort%(otroph%$- Realeas%$* #ormo$ethat st%m'late) the a)re$al *la$)s to

    pro)'(e hormo$e (alle)(ort%(ostero%)

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    BLOO3 S.11L0 

    The artrial /lood supply

    to each adrenal "land is

    via three adrenal

    arteries:

    -The superior suprarenal

    artery. a /ranch o1 thein1erior phrenic artuery

    -- The middle suprarenal

    artery. a /ranch o1 the

    aorta

    -- The in1erior suprarenalartery. a /ranch o1 the

    renal artery

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    The Venousdraina"e

    -The enousdraina"e of theadrena# is ia thesuprarena# eins,hich drain into

    di!erent maineins on each side'

    8 The ri"ht into theinferior ena caa

    - The #eft into the

    #eft rena# or #eftinferior phrenicein

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    NERVE S.11L0 

    The adrenal "land

    have a rich nervesupply . /ranch 1rom

    Coeliac ple4us and

    the thoracicus

    splancnic

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    6.NCTIONALANATO&0 

    The adrena# "#and can (edeide into t,o 9ones2 eachof ,hich producin" speci:chormones'

    The inner part of the adrena#ca##ed medu##a secretedadrena#in 4 epinephrine5 and

    noradrena#in 4 norepinephrine5

    The outer part of theadrena# "#and ca##ed corte-secreted +

    8 &inera#ocorticoid  A#dosteron 4 9ona

    "#omeru#osa5

    8 G#ucocorticoid corti9o#4 ;ona fascicu#ata5

    8 Andro"en 4;onareticu#aris5

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    1ANCREATICGLAN3

    Gland with /oth e4ocrine

    and endocrine 1unctions

    =7-67 cm lon"

    >9-=99 "

    ocation: in epi"astric and

    le1t hypochondric re"ion0

    %etro-peritoneum. 6nd 

    lum/ar verte/ral level

    +4tends in an o/li?ue.

    transverse position

    Parts o1 pancreas: head.nec3. /ody and tail

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    1ANCREATIC 3.CT

    - @irsun"i duct runsthe entire len"th o1pancreas

    -$antorini duct drainssuperior portion o1

    head and emptiesseparately into 6nd portion o1 duodenum

    - Common 2ile duct/ehind 1irst portion o1

    duodenum then throu"hhead o1 pancreas

    Terminates at ampulla o1vater

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    The pancreas is an endocrine "land which hase4ocrine and endocrine tissue0

    The e4ocrine secretes pancreatic juice. a

    solution containin" en!yme 1or car/ohydrat.protein and triacyl "lycerol di"est0

    Pancreatic juice drains into the small intestine0

    The endocrine part secretes hormones 1or there"ulation o1 /lood "lucose concentration.include insulin. "luca"on and somatostatin 0

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    2OO, $5PP2lood supply 1rom $plenicartery. Hepatic artery and$uperior &esenteric ArteryCeliac Common HepaticArtery GastroduodenalArtery  $uperiorpancreaticoduodenal artery which divides into anteriorand posterior /ranches

    $&A

     n1eriorpancreaticoduodenal artery which divides into anteriorand posterior /ranches

    V D % &

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    Ve$o's Dra%$a*e o&!a$(reas

    • #ollows arterial supply• Anterior and posterior arcades drain head and

    the /ody•

    $plenic vein• $uperior and in1erior mesenteric vein pass deepto pancreas. mer"e with spleen vein. terminatesin portal vein

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    Ve$o's Dra%$a*e o& the !a$(reas

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    I$$erat%o$ o& !a$(reas

    • $ympathetic 1i/ers 1rom the splanchnic nerves

    • Parasympathetic 1i/ers 1rom the va"us

    • 2oth "ive rise to intrapancreatic periacinar

    ple4uses• Parasympathetic 1i/ers stimulate /oth e4ocrine

    and endocrine secretion

    •$ympathetic 1i/ers have a predominantlyinhi/itory e11ect

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    !ro)'(t%o$ o& !a$(reat%( #ormo$es .y Three Cell Types

     lpha cells produce glucagon!

    "eta cells produce insulin!

    #elta cells produce somatostatin!

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    ovary

    The ovaries are the

    1emale pelvic

    reproduction or"an and

    are responsi/le 1or the

    production o1 se4hormones0

    The ovaries are small

    They are paired or"an

    located on either side o1

    the uterus within the2road i"ament /ellow

    the uterin 1allopian tu/e0

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    BLOO3 S.11L0 

    2lood supply to the ovary

    is via the ovarian artery.

    /oth the ri"ht and le1t

    arteries ori"inate directly

    1rom the aorta0

    The le1t ovariy vein drain

    into the le1t renal vein

    and the ri"ht ovarian

    vein empties into the

    in1erior venae cava0

    Hormones produce /y the

    ovary are estro"en and

    pro"esteron0

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    The T+$T+$ (sin"ular:

    T+$T$ Testicle

    T+$T+$ are the

    male "onads. located

    in the scrotum0Testes are component

    o1 /oth the

    reproduction system

    and the endocrine

    system0

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    +ach testes isenclosed /y the

    tunica va"inalis. a

    continuation o1 the

    peritoneum that linesthe a/domino pelvic

    cavity0

    A 1i/rous capsule

    covers each testis

    called the tunica

    al/u"enia

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    The primary 1unction o1 the

    testes are produce sperm

    ( spermato"enesis) and to

    produce andro"en (e4.

    testosteron)

    Gonadotropin Hormon

    produced /y the anterior

    pituitary:

    H Testosteron release

    #$H $permato"enesis

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    2OO, $5PP

    The paired testicularisartery arise directly 1rom

    the a/dominal artery and

    descend thou"h the in"uinal

    canal0

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    The le1t testicularis

    vein drain into the

    le1t renal vein and

    the ri"ht testicularisvein empties into the

    in1erior venae cava0

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    THANK YOU

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    The tunica al/u"inea

    "ives rise to septa

    (partitions) that divide

    the testis into lo/ules

    (a/out 679)

    +ach lo/ule contains 8

    or < hi"hly coiled

    semini1erous tu/ules

    These conver"e to

    /ecome rete testis

    which transport sperm

    to the epididymis

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     The testicu#ar arteries .ra$(h o/ the a.)om%$al aorta$ear the ,%)$eys The ri"httesticu#ar ein )ra%$s )%re(tly%$to the %$&er%or e$a (aa0

    +h%le the #eft testicu#ar ein )ra%$s %$to the le&t re$al e%$

    a$) the$ %$to the %$&er%or e$a(aa Note ho+ the essels

    (ross oer the ureters a$)e$ter a$) e1%t the in"uina#cana# +%th the spermatic

    cord %a the deep a$)super:cia# in"uina# rin"s0respe(t%ely