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Samenvatting Cardiorespiratoire Pathologie - anatomie longen en hart
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onderdeel van het vak cardiorespiratoire kine samenvatting van het hoofdstuk : anatomie longen en hart
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CARDIOVASCULAIREPATHOLOGIE
Cardiorespiratoire Kinesitherapie
PROF DR M CLAEYS
Charlotte de Vooght
,1. Anatomie en Functie Hart en Longen..........................................................................................................................3
Fysiologie hart en longen............................................................................................................................................3
A. Algemene begrippen...........................................................................................................................................3
B. Cardiovasculair Systeem......................................................................................................................................3
C. Schikking van de organen / vaatbedden..............................................................................................................3
Bloedstroom doorheen het hart.................................................................................................................................4
A. 4 hartkamers.......................................................................................................................................................4
B. Bloedflow............................................................................................................................................................4
C. Linker Ventrikel...................................................................................................................................................5
Klinisch Belang Linker Ventrikel...........................................................................................................................5
D. Hartkleppen........................................................................................................................................................5
Bloedvoorziening van het hart Kransslagader / coronair.....................................................................................6
1. Coronaire Anatomie.....................................................................................................................................6
Bloedvoorziening van het hart Territoria....................................................................................................................6
A. Bloedvoorziening van het hart............................................................................................................................7
B. Hart Doorsnede...................................................................................................................................................7
C. Impulse and conduction system..........................................................................................................................7
D. Innervatie: ortho en parasympticus....................................................................................................................8
1. A.Pulmonalis en zijtakken................................................................................................................................8
E. De grote vaten rond het hart...............................................................................................................................8
F. Vasculair Systeem................................................................................................................................................9
G. Hartdebiet...........................................................................................................................................................9
H. Hartslag & Debiet................................................................................................................................................9
Inspanning...........................................................................................................................................................9
Distributie van bloedvolume en rol van het veneus systeem in de vulling van het hart..............................................9
Nerveuze, humorale en locale regulatie van het cardio-vasculaire systeem.....................................................10
Regeling van de arteriële bloeddruk: feedback-controle via autonoom zenuwstelsel en nieren......................10
A. Wederzijdse Afhankelijkheid : Circulatoire & Orgaan-functie...........................................................................10
Ademhalingsstelsel....................................................................................................................................................10
A. Structuur en functie van het ademhalingsstelsel..............................................................................................10
B. Structuur en functie van het ademhalingsstelsel...............................................................................................11
Schema van de luchtweggeneraties..................................................................................................................12
C. Anatomie: doorsnede door een long.................................................................................................................12
Structuur – functie alveoli.................................................................................................................................12
D. Normale (ideale) long........................................................................................................................................12
Samenstelling van “lucht” (zeeniveau)..............................................................................................................13
Ademhaling............................................................................................................................................................... 13
A. Onderverdeling longvolumes............................................................................................................................13
B. Longvolumes.....................................................................................................................................................14
, C. Statische Longvolumes......................................................................................................................................14
D. Longvolumes en -capaciteiten bij de doorsnee volwassenen............................................................................14
Oefening............................................................................................................................................................14
Onderzoekstechnieken..............................................................................................................................................14
A. Klinisch Onderzoek............................................................................................................................................15
Bloeddrukmeter................................................................................................................................................15
B. Het Electrocardiogram (ECG).............................................................................................................................16
ECG Afleidingen.................................................................................................................................................16
1. Perifere afleiding........................................................................................................................................16
EGC papier.........................................................................................................................................................17
Normale ECG.....................................................................................................................................................17
Klinisch nut ECG.................................................................................................................................................18
C. Echocardiografie................................................................................................................................................18
Kleurendoppler..................................................................................................................................................18
D. Spirometrie.......................................................................................................................................................18
Meting longvolume verandering met gesloten (“natte”) spirometer................................................................19
Spirogram..........................................................................................................................................................19
Overgang van het spirogram, de volume-tijdcurve, naar de flow-volume (FV)-curve.......................................19
Spirogram en flow-volume curven.....................................................................................................................20
interpretatie kengetallen: referentiewaarden...................................................................................................20
ERS referentiewaarden M vs. F..........................................................................................................................20
Cardiorespiratoire Pathologie
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