Makalah Sistem Urinari
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MAKALAH SISTEM URINARI
ANATOMI DAN FISIOLOGI MANUSIA
NAMA : LEDYTA ASA AISALI
KELAS : 1 B
NIM : 1508010064
FAKULTAS FARMASI
UNIVERSITAS MUHAMMADIYAH PURWOKERTO
2016
SISTEM URINARI PADA MANUSIA
Sistem urinri !"# sutu sistem tem$t ter%!in& $r'ses $en&rin(n
!r# se#in(( !r# )e)s !ri *t+*t &n( ti!, !i$er(un,n '"e# tu)u# !n
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men&er$ *t+*t &n( msi# !i$er(un,n '"e# tu)u#- .t+*t &n(
!i$er(un,n '"e# tu)u# "rutn !"m ir !n !i,e"ur,n )eru$ urine /ir
,emi#-
A. ORGAN SISTEM URINARI
Sistem urinri ter!iri ts:
in%"2 &n( men(e"ur,n se,ret urine-
Ureter2 &n( men&"ur,n urine !ri (in%" ,e ,n!un( ,en3in(-
Kn!un( ,en3in(2 &n( )e,r% se)(i $enm$un(-
Uretr2 &n( men&"ur,n urine !ri ,n!un( ,en3in(-
1- in%"
in%" !"# sutu ,e"en%r &n( ter"et, !i)(in $'steri'r )!'men2
terutm !i !er# "um)"2 !ise)e"# ,nn !n ,iri tu"n( )e",n(2 !i)un(,us
"$isn "em, &n( te)"2 !i)e",n( $erit'neum2 !n ,ren itu !i"ur r'n((
$erit'neum- Seti$ (in%" $n%n(n& 6 sm$i 25 3m2 !n te)" 125 sm$i 25
3m- P! 'rn( !es )ertn& ,ir+,ir 140 (rm- Bentu, (in%" se$erti )i%i
,3n(2 %um"#n& ! !u )u# ,iri !n ,nn2 (in%" ,iri "e)i# )esr !ri (in%"
,nn !n $! umumn& (in%" ",i+",i "e)i# $n%n( !ri (in%" nit-
Sru,tur (in%" seti$ (in%" !i"in(,u$i ,$su" ti$is !ri %rin(n 7i)rus &n(
r$t mem)un(,usn&2 !n mem)entu, $em)un(,us &n( #"us- Di !"mn&
ter!$t stru,tur+stru,tur (in%"- rnn& un(u tu !n ter!iri ts )(in
,'rte,s !i se)e"# "ur2 !n )(in me!u" !i se)e"# !"m- B(in me!u" ini
tersusun ts "im )e"s sm$i enm )e"s mss )er)entu, $irmi!2 &n(
!ise)ut piramis ginjal. Pun3,+$un3,n& "n(sun( men(r# ,e #i"um !n
)er,#ir !i ,"ises- K"ises ini men(#u)un(,nn& !en(n $e"9is (in%"-
un(si (in%":
- Meme(n( $ern $entin( !"m $en(e"urn *t+*t t',sis tu r3un-
)- Mem$ert#n,n susn ,eseim)n(n 3irn-
3- Mem$ert#n,n ,eseim)n(n ,!r sm !n )s !ri 3irn tu)u#-
!- Mem$ertim)n(,n ,eseim)n(n (rm+(rm !n *t+*t 3irn
tu)u#-
e- Men(e"ur,n sis+sis met)'"isme #si" ,#ir !ri ureum $r'tein-
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Tes 7un(si (in%"- Ter!$t )n&, m3m tes2 tet$i )e)er$ &n( se!er#n
!"#:
Tes protein /")umin- Bi" ,erus,n $! ("'meru"us tu tu)u"us2
m, $r'tein !$t msu, ,e urine-
) Tes konsentrasi urea darah- Bi" (in%" ti!, 3u,u$ men(e"ur,n
ureum2 ureum !r# ni, !i ts ,!r n'rm" 0+40 mi"i(rm $er 100
33m !r#- Kren 7i"trsi ("'meru"us #rus menurun sm$i se)n&,
50 $ersen se)e"um ,eni,n ,!r ure !r# ter%!i2 tes ini )u,n tes
&n( sn(t $e,-
3 Tes konsentrasi. !i"rn( m,n tu minum se"m 1 %m untu,
me"i#t sm$i )er$ tin((i )ert %enis ni,n&-
- Ureter
Ter!$t !u ureter )eru$ !u $i$ s"urn2 &n( msin(+msin( )ersm)n(
!en(n (in%" !n !ri (in%" )er%"n ,e ,n!un( ,en3in(- Te)" seti$ ureter
,ir+,ir sete)" tn(,i )u"u n(s !n $n%n(n& ;5 sm$i 40 3m- Ter!iri ts
!in!in( "ur &n( 7i)rus2 "$isn ten(# &n( )er't't2 !n "$isn mu,'s se)e"#
!"m- Ureter mu"i se)(i $e"e)rn #i"um (in%" !n )er%"n ,e)# me""ui
r'n(( )!'men msu, ,e !"m se)e"# $'steri'r ,n!un( ,en3in(-
Ureter $! $ri ter!$t !i!"m 9isur semin"is ts ! !isi"n( '"e#
!u,tus !e7erens !n !i,e"i"in(i '"e# $"e,sus 9esi,"is- Se"n%utn& ureter )er%"n
')"i
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)er!imeter 1+5 mm-
;- Kn!un( ,en3in(
Kn!un( ,en3in( )e,er% se)(i $enm$un( urine2 'r(n ini )er)entu,
)u# $ir- Let,n& !i!"m $n((u" )esr2 !i!e$n isi "inn& !n !i)e",n(
sim7isis $u)is- P! )&i "et,n& "e)i# tin((i- B(in ter)# ter$n3n( ert
!n !ise)ut )sis2 )(in ts tu 7un!us ni, ,"u ,n!un( meme,r ,ren
urine- Pun3,n& en(r# ,e!e$n )# !n ! !i)e",n( sim7isis $u)is-
B(in 9esi, urinri ter!iri !ri:
- un!us2 )(in &n( men(#!$ ,e r# )e",n( !n )#2 )(in ini
ter$is# !ri re,tum '"e# s$tium re3t'9esi,"e &n( terisi '"e# %rin(n
i,t !u,tus !e7eren2 9esi, semin"is !n $r'stt-
)- K'r$us2 )(in ntr 9erte,s !n 7un!us-
3- =erte,s2 )(in &n( mn3un( ,e r# mu, !n )er#u)n(n !en(n
"i(mentum 9esi, um)i"i,"is-
Din!in( ,n!un( ,emi# ter!iri !ri "$isn se)e"# "ur /$erit'neum2 tuni,
mus,u"ris /"$isn 't't2 tuni, su)mu,'s2 !n "$isn mu,'s /"$isn )(in
!"m- Pem)u"u# "im7e 9esi, urinri men("ir,n 3irn "im7e ,e !"m n!i
"im7ti, i"i, intern !n e,stern-
4- Uretr
I"# se)u# s"urn &n( )er%"n !ri "e#er ,n!un( ,en3in( ,e "u)n(
"ur2 !i"$isi mem)rn mu,'s &n( )ersm)un( !en(n mem)rm &n(
me"$isi ,n!un( ,en3in(- Metus urinrius ter!iri ts ser)ut 't't "in(,r2 &n(
mem)entu" sfinger uretra. P! nit $n%n( uretr !"# 25 sm$i ;25 3m2
$! $ri 1 sm$i 25 3m-
Mi,turisi
Mi,turisi !"# $eristi $em)un(n urine- Kren !i)ut !i!"m2 urine
men("ir me""ui ureter ,e!"m ,n!un( ,en3in(-
B. PEMBENTUKAN URIN
"'meru"us )er7un(si se)(i u"tr7i"trsi $! ,$su" )'mn2 )er7un(si
untu, menm$un( #si" 7i"trsi !ri ("'meru"us- P! tu)u"us (in%" ,n ter%!i
$en&er$n ,em)"i *t+*t &n( su!# !isrin( $! ("'meru"us2 sis 3irn
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,n !iterus,n ,e $i" (in%" terus )er"n%ut ,e ureter-
Urine )ers" !ri !r# &n( !i) rteri ren"is msu, ,e!"m (in%"2
!r# ini ter!iri !ri )(in &n( $!t &itu se" !r# !n )(in $"sm !r#-
A! ti( t#$ $em)entu,n urine:
1 Pr'ses 7i"trsi
Ter%!in& !i ("'meru"us2 $r'ses ini ter%!i ,ren $ermu,n 7eren "e)i#
)esr !ri $ermu,n e7eren m, ter%!i $en&er$n !r#- Se!n(,n se)(in
&n( tersrin( !"# )(in 3irn !r# ,e3u"i $r'tein- >irn &n( tersrin(
!itm$un( '"e# ,$su" )'mn &n( ter!iri !ri ("u,'s2 ir2 ntrium2 ,"'ri!2
su"7t2 )i,r)'nt2 !n "in+"in2 &n( !iterus,n ,e tu)u"us (in%"-
Pr'ses re)s'r$si
Pr'ses ini ter%!i $en&er$n ,em)"i se)(in )esr ("u,'s2 ntrium2
,"'ri!2 su"7t2 !n i'n )i,r)'nt- Pr'sesn& ter%!i se3r $si7 &n( !i,en"
')"i(t'r re)s'r$si ter%!i $! tu)u"us ts- Se!n(,n $! tu)u"us (in%"
)# ter%!i ,em)"i $en&er$n ntrium !n i'n )i,r)'nt- Bi" !i$er"u,n
,n !iser$ ,em)"i ,e !"m tu)u"us )(in )#- Pen&er$nn& ter%!i
se3r ,ti7 !i,en" !en(n re)s'r$si 7,u"tti7 !n sisn& !i"ir,n $! $$i"
ren"is-
; Pr'ses se,resi
Sisn& $en&er$n urine ,em)"i &n( ter%!i $! tu)u"us !n !iterus,n
,e $i" (in%" se"n%utn& !i terus,n ,e ureter msu, ,e 9esi, urinri-
C. KESEIMBANGAN CAIRAN TUBUH DAN TEKANAN DARAH
1. Pen(turn ,eseim)n(n ir
Asu$n !n 'ut$ut ir #rin !ri sese'rn( !en(n ,ti9its se!n( !n su#u
tu)u# se!n( !"# seim)n(2 &itu se,itr -500 m"- D"m tu)u# &n(
se#t2$en&esuin ter#!$ ,eseim)n(n ir ter%!i me""ui $enurunn ,e"urn
ir '"e# (in%"-
Asu$n ir 4 %m !i!$t terutm !ri !iet-
1 M,nn &n( !ite"n men(n!un( se,itr 00 m" ir- D(in(
men(n!un( 50? sm$i 5? ir !n )e)er$ %enis )u# !n s&urn
men(n!un( @5? ir-
Air tu minumn "in &n( !i,'nsumsi men3$i se,itr 1-600 m"-
; Air met)'"i3 &n( !i#si",n me""ui ,t)'"isme men3$i se,itr ;00
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m"- ,t)'"isme 1 ( "em, men(#si",n 120 m" ir 1 ( ,r)'#i!rt2 0255
m" ir !n 1 ( $r'tein 0241 m" ir-
) Ke"urn ir /,e#i"n(n ir ter%!i me""ui )e)er$ rute-
1 in%" )ertn((un( %) untu, ,e#i"n(n ir ter)esr /se,itr 1-500 m"
Air %u( #i"n( me""ui ,u"it2 &itu st )er,erin(t !n me""ui $ers$irsi
t, ,st mt /se,itr 500 m"- me""ui e9$'rsi $ru /;00 m"2 !n
me""ui s"urn (str'intestin" /00 m"-
2. Keseim)n(n ntrium-
Sum)er utm ntrium !"# m,nn- Asu$nn& )er9risi mu"i !ri 4 (
sm$i 0 ( N>"- Ntrium !i,e"ur,n me""ui ,u"it2 (in%"2 !n s"urn
(str'intestin"-
Keseim)n(n ntrium $'siti7 ter%!i %i, su$n me"e)i#i ,e"urn-
Kren ir teri,t !en(n ntrium2 m, 9'"ume >ES !n $"sm ,n
menin(,t- Re7rensi ir !n ntrium !$t men(,i)t,n $enm)#n
)ert )!n !n ter%!in& e!em- (" %ntun( ,'n(esti7 tu $en&,it
(in%" !"# ,'n!isi+,'n!isi ,"inis &n( !$t men&e)),n
,eseim)n(n ntrium $'siti7-
) Keseim)n(n ntrium ne(ti9e ter%!i %i, ,e"urn me"e)i#i su$n-
Penin(,tn ,e#i"n(n ntrium men&e)),n $enurunn 9'"ume >ES
!n $"sm !en(n !iserti te,nn !r# ren!# !n sir,u"si &n( ti!, mem!i-
3. Keseim)n(n ,"ium- K"ium !"# ,ti'n intrse"u"r utm /@5?- I'n ini
se3r n'rm" !i,'nsumsi !n !ise,resi !"m %um"# &n( seim)n( &itu
10? !ri su$n #rin !ie,s,resi !"m 7ses !n @0? !"m urine-
4. Keseim)n(n ,""sium !n 7's7t- 3t'r &n( mem$en(ru#i %um"#
,"sium !"m $"sm !"# %um"# ,"sium &n( !i,'nsumsi2 %um"# &n(
!i)s'r$si !ri s"urn $en3ernn2 !n %um"# &n( !ie,s,resi !"m 7eses
!n urine-5. Keseim)n(n sm !n )s 3irn tu)u# !"# $en(turn ,'sentrsi i'n+
i'n #&!r'(en &n( esensi" untu, 7un(si n'rm" se"- K'sentrsi i'n #&!r'(en
/!in&t,n se)(i P memen(ru#i ,ti9its en*imti,2 $erme)i"its se"2
!n stru,tur se"-
6. Te,nn !r# ren!# !n !e#i!rsi /#i"n(n& 3irn tu)u#- De#i!rsi
!"# ,'n!isi #i"n(n& 3irn tu)u# se3r )er"e)i#n- De#i!rsi
men&e)),n ter%!in& ,eti!,seim)n(n $! tin(,t te,nn !r#-
Te,nn !r# se3r se!er#n !i!e7inisi,n se)(i te,nn &n( tim)u"
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se"m sir,u"si !r# !i $em)u"u# !r#- Se"m !e#i!rsi tin(,t ir turun
!rsti3- Di sisi "in2 tu)u# tet$ mem)utu#,n ir untu, men%"n,n )er)(i
7un(sin&- D"m ,'n!isi ini2 'r(n $entin( !"m tu)u# ,n !i)eri,n
$ri'rits untu, men!$t,n ir2 se!n(,n $em)u"u# ,$i"er &n( mems',
nutrisi ,e ,u"it !n 't't ,n tertutu$- Se"in itu2 se"m !e#i!rsi ir !im)i"
!ri !r# untu, !i$s', ,e )er)(i 'r(n $entin( se#in(( men(,i)t,n
$enurunn 9'"ume !r# !"m rteri !n 9en- Seirin( sir,u"si !r# ,e
'r(n+'r(n tu)u#2 $em)u"u# !r# men(,erut untu, men(,'m'!si
)er,urn(n& 9'"ume !r#- Keti, tu)u# ,e#i"n(n ir- Pem)u"u# ,$$i"er
!n $em)u"u# !r# )er,'ntr,si /men&em$it se#in(( men&e)),n
,e"e"#n !n ,e"em#n $! $em)u"u# !r# se,"i(us men&e)),n
te,nn !r# ren!#-
D. PEMBUANGAN ASAM DAN SUBSTANSI LAIN DALAM URIN
.t sis !"m urin se)(in )esr )ers" !ri $eme3#n m,nn !n
met)'"isme !"m tu)u#-
Du *t sis utm &itu :
1- Ure : Ure meru$,n *t sis utm &n( !i#si",n !ri
met)'"isme $r'tein2 men(isi se,itr seten(# !ri t't" *t sis urin-
Se)(in )esr ure !i)un( me""ui urin2 se#in(( ,!r ure !"m urin
serin(,"i !i(un,n se)(i $enn! su$n $r'tein-
- S'!iu : S'!ium meru$,n miner" esensi"2 &n( se3r
e,s,"usi7 )ers" !ri m,nn- S'!ium mem$un&i $ern $entin( !"m
men%( 9'"ume 3irn tu)u#- S'!ium %u( !$t !i)un( me""ui
$en(u$n tu usus2 tet$i )(in ter)esr !i)un( me""ui urin- in%"
!$t men&esui,n $em)un(n s'!ium sesui !en(n )er)(i su$n2
mu"i !ri 0 #in(( se,itr 5 ( $er #ri
M,nn m'!ern &n( meru$,n m,nn &n( !i$r'ses men(n!un( s'!ium
me"e)i#i ,e)utu#n #rin !n se)(in )esr s'!ium &n( )ers" !ri m,nn
#rus !i)un( !"m urin- Itu"# se))n&2 s'!ium urin serin(,"i !i(un,n
se)(i in!i,t'r ,e"e)i#n su$n s'!ium-
.t sis "in &n( %u( !ie,s,resi t$i !"m %um"# se!i,it &itu :
• Amm'ni : terutm )ers" !ri met)'"isme $r'tein-
• Asm urt : terutm )ers" !ri $eme3#n sen& se$erti $r'tein
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&n( )ers" !ri m,nn-
• C"te : se)(in ',s"t )ers" "n(sun( !ri m,nn tet$i
se)(in )esr meru$,n #si" !ri sen& "in se$erti 9itmin >-
•
Miner" : ,"sium2 m(nesium2 $'tsium2 7's7'r Pen(e"urn *t+*t ini!itur '"e# (in%"2 ter(ntun( ,eseim)n(n miner" !"m tu)u#-
DAFTAR PUSTAKA
u&t'n ""- 1@@- Buku Ajar Fisiologi Kedokteran Edisi 9. F,rt: E>-
/#"mn 58@+660
Prtii2 D- A- !,,- 006- Biologi Untuk SMA Kelas X. F,rt: Er"n(( /186+
188
u&t'n ""- 00- Buku Ajar Fisiologi Kedokteran Edisi !!. F,rt: E>-
/#"mn ;44+41;
K#isti&'n'- 008- S"M Biologi SMA dan MA. F,rt: Er"n((- /#"mn 100+
1012 115+11
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E9e"&n >-$er3e- 011- anatomi dan fisiologi untuk paramedis. %,rt: rme!i
Pust, Utm /#"mn @8+@@2 ;0;+;05