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Askep Atresia Esophagus

Askep Atresia Esophagus

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Published by: KhoLisoh Sae Anugrah on Aug 24, 2011
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02/22/2013

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 Asuhan AsuhanPadaPadaBayiBayi//Anak AnakDenganDengan  Atresia AtresiaEsophagusEsophagusSTIKes CirebonSTIKes Cirebon
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DeskripsiDeskripsi
Istilah atresia berasal dari Bahasa Yunani yaitu a yang berarti tidak adaIstilah atresia berasal dari Bahasa Yunani yaitu a yang berarti tidak adadan trepsis yang artinya nutrisi atau makanan. Dalam istilah kedokteran,dan trepsis yang artinya nutrisi atau makanan. Dalam istilah kedokteran,atresia adalah suatu keadaan tidak adanya atau tertutupnya lubangatresia adalah suatu keadaan tidak adanya atau tertutupnya lubangbadan normal.badan normal.
Kelainan ini terjadi bisa karena dibawa sejak lahir atau terjadi kemudianKelainan ini terjadi bisa karena dibawa sejak lahir atau terjadi kemudiankarena proses penyakit yang mengenai saluran itu.karena proses penyakit yang mengenai saluran itu.
 Atresia dapat terjadi pada seluruh saluran tubuh, misalnya Atresia dapat terjadi pada seluruh saluran tubuh, misalnya
atresia ani atresia ani 
yaitu tidak berlubangnya dubur,yaitu tidak berlubangnya dubur,
atresia hymenalisatresia hymenalis
yaitu tidakyaitu tidakberlubangnya selaput dara, atresia saluran empedu, atresia saluranberlubangnya selaput dara, atresia saluran empedu, atresia saluranpencernaan bagian atas (esofagus), dan lainpencernaan bagian atas (esofagus), dan lain--lain.lain.
J
ika seseorang mengalami atresia maka hampir selalu memerlukan
J
ika seseorang mengalami atresia maka hampir selalu memerlukantindakan operasi. Ini diperlukan untuk membuat saluran seperti keadaantindakan operasi. Ini diperlukan untuk membuat saluran seperti keadaannormalnya.normalnya.
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PerkembanganPerkembanganEsophagusEsophagus
Embryonic PeriodEmbryonic Period
The embryonic period extends from conception to the ninth week of gestation. During theThe embryonic period extends from conception to the ninth week of gestation. During thelatter half of the third week of development, the primitive foregut develops a ventrallatter half of the third week of development, the primitive foregut develops a ventraldiverticulum that is cranial to the hepatic primordium and caudal to the fourth and fifthdiverticulum that is cranial to the hepatic primordium and caudal to the fourth and fifthpharyngeal pouches. The diverticulum grows caudally and develops bronchopulmonarypharyngeal pouches. The diverticulum grows caudally and develops bronchopulmonarybuds soon after appearance. The trachea develops from further caudal growth of thebuds soon after appearance. The trachea develops from further caudal growth of therespiratory diverticulum.respiratory diverticulum.
During the fourth and fifth weeks of development, the rapidly growing heart and liver During the fourth and fifth weeks of development, the rapidly growing heart and liver stretch the esophagus. Because of the stretching, the esophagus narrows almost tostretch the esophagus. Because of the stretching, the esophagus narrows almost toobliteration at the level of the carina. Although vacuoles have been seen within theobliteration at the level of the carina. Although vacuoles have been seen within theesophagus during this period, the lumen of the esophagus remains intact. In addition, theesophagus during this period, the lumen of the esophagus remains intact. In addition, thebronchial primordia curve in a dorsal direction, likely due to the growth of the pericardiumbronchial primordia curve in a dorsal direction, likely due to the growth of the pericardiumanteriorly. The dorsal "embracement" of the esophagus results in close approximation of anteriorly. The dorsal "embracement" of the esophagus results in close approximation of the tracheal bifurcation to the front wall of the esophagus, further narrowing its lumen.the tracheal bifurcation to the front wall of the esophagus, further narrowing its lumen.
Between the sixth and eighth weeks of gestation, the epithelium becomes 2Between the sixth and eighth weeks of gestation, the epithelium becomes 2--5 cells thick5 cells thick and remains stratified columnar epithelium. The esophagus also is surrounded by a layer and remains stratified columnar epithelium. The esophagus also is surrounded by a layer of undifferentiated mesenchyme and a circular layer of myoblasts. Longitudinal muscleof undifferentiated mesenchyme and a circular layer of myoblasts. Longitudinal musclefibers appear in the lower esophagus as the circular layer of muscle becomes wellfibers appear in the lower esophagus as the circular layer of muscle becomes wellestablished. Cartilage also appears in the tracheobronchial tree.established. Cartilage also appears in the tracheobronchial tree.
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