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Thick and tense skin is on the soles of your feet and hands.
Thin skin is on the face, soft and neck and body, and coarse-haired
ones are on the head.
1) Epidermal layer
3) Subcutting layer
Figure 1. Skin
2. Dermis layer
a. Pars papillary
The part that protrudes into the epidermis, contains the
ends of nerve fibers and blood vessels. Consisting of
loose connective tissue, namely: fibroblast cells,
leukocytes, mast cells, and thin collagen fibers.
b. Pars reticularis
The lower part protrudes into the subcutaneous direction,
this part consists of fibers - supporting fibers for example:
collagen fibers, elastin, and reticuline.
3. Subcutting layer
SKIN ADNECTION
Adnexa of the skin consists of the glands of the skin, hair, and nails.
b. SKIN PHYSIOLOGY
1. Protection Function
a. Thick fat pads of the skin layer and supporting tissue fibers
that act as a protector against physical disorders.
b. Chemical stimulation protection can occur because the
stratum corneum is impermeable to various chemical
substances and water, dismantling that there is a layer of skin
acidity that protects the contact of chemicals with the skin.
(formed from the results of sweat and sebum)
c. The acidity of the skin causes the pH of the skin to range at
pH 5-6.5, so it is a chemical protection against bacterial and
fungal infections
d. The keratinization process is a mechanical barrier because
the dead cells disengage regularly.
2. Absorption function
Healthy skin is not easy to absorb water, solution and
solid objects, but volatile liquids are more easily absorbed, as
well as fat soluble. Skin permeability to O2, CO2, and water
vapor allows the skin to take part in the function of respiration.
The ability of skin absorption is influenced by the thickness of
the skin, hydration, humidity, metabolism and type of vehicle.
Absorption can take place through a gap between cells,
penetrating epidermal cells or through the mouth of the gland;
but more is through the cells of the epidermis than through the
mouth of the gland.
3. Excretion Function The skin glands secrete useless
substances / metabolic waste in the body in the form of NaCl,
urea, asurat, ammonia.
4. Function of Perception
1. Incised wounds occur because they are cut by sharp instruments. For
example, what happens as a result of surgery. Clean (aseptic) wounds
usually covered by suture as much as the entire blood vessel that is
wounded (Ligation)
2. Contusion Wound, occurs due to a collision by a pressure and is
characterized by injury to soft tissue, bleeding and swelling.
3. Abraded Wound, occurs due to skin rubbing against other objects that
are usually with objects that are not sharp.
4. Punctured wounds, which occur as a result of objects, such as bullets
or knives that enter into the skin with a small diameter.
5. Lacerated Wound, caused by objects that are sharp like by glass or by
wire.
6. Penetrating Wound, which is a wound that pierces the body's organs
usually at the beginning of the wound in a small diameter but at the
end of the wound usually will widen.
Referensi :
1. Djuanda, Adhi dkk. Ilmu Penyakit Kulit dan Kelamin .Edisi
keenam.2011, Jakarta : Balai penerbit Fakultas Kedokteran
Universitas Indonesia.Hal. 3-5
2. Sloane, E., Anatomi dan Fisiologi Untuk Pemula. 2004, Jakarta:
Penerbit Buku Kedokteran EGC. hal. 266-277