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Komposisi dan Fungsi Darah 1 Alfian
Krisnasari,
M.Sc
Komponen, jumlah relatif dan fungsi darah
Protein plasma (50 % - 60 % dari vol total)
1. Air 91%- 92% dr volume plasma
Fungsi : pelarut
2. Protein plasma (albumin, globulin, fibrinogen dll) 7%-8%
Fungsi : Pertahanan, transport lipid, berperan pada pengaturan
volume cairan ekstraselluler
3. Ion, gula, lipid, asam amino, hormon, vitamin dan gas terlarut
1%-2%
Fungsi : Pengaturan cairan ekstraseluler, pH dll
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Composition of whole blood
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Konsentrasi haemoglobin
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Normal human erythrocytes.
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Red cell morphology.
Mohandas N , and Gallagher P G Blood 2008;112:3939-
3948
©2008 by American Society of Hematology
Red cell morphology. Hereditary spherocytosis
(HS; top panel); nonhemolytic hereditary
elliptocytosis (HE; middle panel); elliptocytes,
poikilocytes, and fragmented red cells in
hemolytic HE (bottom panel).
Normal-sickle cell
Five types of human leukocytes
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Neutrophils
• Spesifik granula
• Alkalin fosfatase
• Collagenase
• Lactoferin
• Lisosim
• Granula azurophil
• Acid fosfatase
• Arysulfatase
• Β glukoronidase
• Lisosim
• defensinCopyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Neutrophil ultrastructure.
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Fagositosis
Eosinophils
• Granula spesifik
• Acid fosfatase
• Arylsulfatase
• Β glukoronidase
• Cathepsin
• Fosfolipase
• RNAase
• Mayor basic protein
• Peroksidase eosinofilik
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Basophils
• Granula spesifik
• Eosinophilic chematactic
factor
• Heparin
• Histamin
• Peroxidase
• Phospholipase A
• Platelet activating factor
Copyright © The McGraw-Hill Companies, Inc. All Rights
Reserved.
Leukotrin
Mast cells
Copyright © The McGraw-Hill Companies,
Inc. All Rights Reserved.
Plasma cells
Copyright © The McGraw-Hill Companies, Inc. All Rights
Reserved.
Lymphocytes
Copyright © The McGraw-Hill Companies, Inc. All Rights
Reserved.
Monocytes
Copyright © The McGraw-Hill Companies, Inc. All Rights
Reserved.
Platelets
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Platelet
• Hyalomer (perifer)
• Granulomer (pusat)
• Selubung (GAGs & glikoprotein) adhesi
• Berkas marginal (mikrotubulus & mikrofilamen)
menjaga bentuk ovoid
• Sistem open canaliculi memfasilitasi
pengambilan serotonin & fibrinogen
• Sistem dense tubular menyimpan Ca++
Fibrin clot.
HEMATOPOIESIS (Cellular lineage- growth factors)
• Proses pembentukan sel darah  Hematopoiesis
Dapat dibedakan menjadi:
 Erythropoiesis
Proses pembentukan erythrocytus/sel darah merah
 Granulopoiesis
Proses pembentukan leucocytus/sel leucocyte
(darah putih)
 Monocytopoiesis
Proses pembentukan monocytus/lymphocytes
 Megakaryocytopoiesis
Proses pembentukan megakaryocytus
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
Hematopoiesis tergantung
1. Growth factors (faktor pertumbuhan)
2. Faktor lingkungan (Micro)
Growth factors
 Granulocyte (G-CSF)
 menstimulasi pembentukan leucocytus
. Granulocyte+macrophage (GM-CSF)
Macrophage (M-CSF)
 Interleukin 3
 menstimulasi pembentukan sel myeloid
 Erythropoietin (EPO)
 menstimulasi pembentukan sel darah merah
(erythrocytus) Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
SEL PLURIPOTENTIAL STEM
(ASAL SEL DARAH)
Berada di sumsum tulang
LYMPHOCYTUS
(Sel lymphoid)
SEL MYELOID
(Berkembang di sumsum tulang)
THYMUS
NODUS
LYMPHATICUS LIEN TONSILLA
Red bone marrow (active in hemopoiesis)
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Origin and differentiative stages of blood cells.
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
Komponen sel darah
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
Origin and differentiative stages of blood cells
Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
Diagram of events involving leukocytes in a postcapillary venule
at sites of inflammation.

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Komposisi dan fungsi darah 1

  • 1. Komposisi dan Fungsi Darah 1 Alfian Krisnasari, M.Sc
  • 2. Komponen, jumlah relatif dan fungsi darah Protein plasma (50 % - 60 % dari vol total) 1. Air 91%- 92% dr volume plasma Fungsi : pelarut 2. Protein plasma (albumin, globulin, fibrinogen dll) 7%-8% Fungsi : Pertahanan, transport lipid, berperan pada pengaturan volume cairan ekstraselluler 3. Ion, gula, lipid, asam amino, hormon, vitamin dan gas terlarut 1%-2% Fungsi : Pengaturan cairan ekstraseluler, pH dll Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 3. Composition of whole blood Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 4. Konsentrasi haemoglobin Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 5. Normal human erythrocytes. Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 6. Red cell morphology. Mohandas N , and Gallagher P G Blood 2008;112:3939- 3948 ©2008 by American Society of Hematology Red cell morphology. Hereditary spherocytosis (HS; top panel); nonhemolytic hereditary elliptocytosis (HE; middle panel); elliptocytes, poikilocytes, and fragmented red cells in hemolytic HE (bottom panel).
  • 8. Five types of human leukocytes Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 9. Neutrophils • Spesifik granula • Alkalin fosfatase • Collagenase • Lactoferin • Lisosim • Granula azurophil • Acid fosfatase • Arysulfatase • Β glukoronidase • Lisosim • defensinCopyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 10. Neutrophil ultrastructure. Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 12. Eosinophils • Granula spesifik • Acid fosfatase • Arylsulfatase • Β glukoronidase • Cathepsin • Fosfolipase • RNAase • Mayor basic protein • Peroksidase eosinofilik Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 13. Basophils • Granula spesifik • Eosinophilic chematactic factor • Heparin • Histamin • Peroxidase • Phospholipase A • Platelet activating factor Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved. Leukotrin
  • 14. Mast cells Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 15. Plasma cells Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 16. Lymphocytes Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 17. Monocytes Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 18. Platelets Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 19. Platelet • Hyalomer (perifer) • Granulomer (pusat) • Selubung (GAGs & glikoprotein) adhesi • Berkas marginal (mikrotubulus & mikrofilamen) menjaga bentuk ovoid • Sistem open canaliculi memfasilitasi pengambilan serotonin & fibrinogen • Sistem dense tubular menyimpan Ca++
  • 21. HEMATOPOIESIS (Cellular lineage- growth factors) • Proses pembentukan sel darah  Hematopoiesis Dapat dibedakan menjadi:  Erythropoiesis Proses pembentukan erythrocytus/sel darah merah  Granulopoiesis Proses pembentukan leucocytus/sel leucocyte (darah putih)  Monocytopoiesis Proses pembentukan monocytus/lymphocytes  Megakaryocytopoiesis Proses pembentukan megakaryocytus Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
  • 22. Hematopoiesis tergantung 1. Growth factors (faktor pertumbuhan) 2. Faktor lingkungan (Micro) Growth factors  Granulocyte (G-CSF)  menstimulasi pembentukan leucocytus . Granulocyte+macrophage (GM-CSF) Macrophage (M-CSF)  Interleukin 3  menstimulasi pembentukan sel myeloid  Erythropoietin (EPO)  menstimulasi pembentukan sel darah merah (erythrocytus) Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 23. SEL PLURIPOTENTIAL STEM (ASAL SEL DARAH) Berada di sumsum tulang LYMPHOCYTUS (Sel lymphoid) SEL MYELOID (Berkembang di sumsum tulang) THYMUS NODUS LYMPHATICUS LIEN TONSILLA
  • 24. Red bone marrow (active in hemopoiesis) Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 25. Origin and differentiative stages of blood cells. Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved.
  • 26. Komponen sel darah Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
  • 27. Origin and differentiative stages of blood cells Copyright © The McGraw-Hill Companies, Inc. All Rights Reserved
  • 28.
  • 29. Diagram of events involving leukocytes in a postcapillary venule at sites of inflammation.

Notes de l'éditeur

  1. Red cell morphology. Hereditary spherocytosis (HS; top panel); nonhemolytic hereditary elliptocytosis (HE; middle panel); elliptocytes, poikilocytes, and fragmented red cells in hemolytic HE (bottom panel).