<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/2b458b7f-6ec1-4d70-8777-363e94684740/bg1.png"><div class="c x0 y0 w0 h2"><div class="t m0 x1 h3 y1 ff1 fs0 fc0 sc0 ls16 ws2a">Brendha F. Pedro<span class="ff2 ls0">!<span class="ff1">i #85 MedPuc-PR</span></span></div></div><div class="t m0 x2 h4 y2 ff3 fs1 fc0 sc0 ls16 ws2a">Maior glândula do corpo e, depois da pele, maior órgão</div><div class="t m0 x3 h4 y3 ff3 fs1 fc0 sc0 ls16 ws2a">- secreta bile (líquido emulsificador de gorduras)</div><div class="t m0 x4 h5 y4 ff4 fs1 fc0 sc0 ls1 ws2a"><span class="fc3 sc0">Fí</span><span class="fc3 sc0">gado, S</span><span class="fc3 sc0">iste</span><span class="fc3 sc0">ma Por</span><span class="fc3 sc0">ta, Vias Bili</span><span class="ff5 ws0"><span class="fc3 sc0">!</span></span><span class="fc3 sc0">e</span><span class="fc3 sc0">s,</span> </div><div class="t m0 x5 h5 y5 ff4 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">P</span><span class="fc3 sc0">â</span><span class="fc3 sc0">nc</span><span class="fc3 sc0">r</span><span class="fc3 sc0">e</span><span class="fc3 sc0">a</span><span class="fc3 sc0">s</span><span class="fc3 sc0"> </span><span class="fc3 sc0">e</span><span class="fc3 sc0"> </span><span class="fc3 sc0">B</span><span class="fc3 sc0">a</span><span class="fc3 sc0">ç</span><span class="fc3 sc0">o</span></div><div class="t m0 x6 h4 y6 ff3 fs1 fc0 sc0 ls16">17/05/21</div><div class="t m0 x6 h6 y7 ff6 fs1 fc0 sc0 ls17 ws1">Fí<span class="blank"> </span>g<span class="blank"> </span>a<span class="blank"> </span>d<span class="blank"> </span>o</div><div class="t m0 x2 h4 y8 ff3 fs1 fc0 sc0 ls16 ws2a">Localização: hipocôndrio direito (lobo direito) e epigástrio </div><div class="t m0 x2 h4 y9 ff3 fs1 fc0 sc0 ls16 ws2a">(lobo esquerdo)</div><div class="t m0 x3 h4 ya ff3 fs1 fc0 sc0 ls16">Funções:</div><div class="t m0 x2 h4 yb ff3 fs1 fc0 sc0 ls16 ws2a">- armazenamento de glicogênio</div><div class="t m0 x2 h4 yc ff3 fs1 fc0 sc0 ls16 ws2a">- gliconeogênese</div><div class="t m0 x7 h4 yd ff3 fs1 fc0 sc0 ls16 ws2a">- armazenamento e metabolismo de vitaminas e ferro</div><div class="t m0 x7 h4 ye ff3 fs1 fc0 sc0 ls16 ws2a">- sínt<span class="blank _0"></span>ese de prot<span class="blank _0"></span>eínas plasmáticas (albumina)</div><div class="t m0 x3 h4 yf ff3 fs1 fc0 sc0 ls16 ws2a">- desintoxicação</div><div class="t m0 x3 h4 y10 ff3 fs1 fc0 sc0 ls16 ws2a">- filtração mecânica de bactérias</div><div class="t m0 x7 h4 y11 ff3 fs1 fc0 sc0 ls16 ws2a">- mecanismos de homeostasia (coagulação)</div><div class="t m0 x7 h4 y12 ff3 fs1 fc0 sc0 ls16 ws2a">- principal órgão formador de linfa</div><div class="t m0 x8 h4 y13 ff3 fs1 fc0 sc0 ls16 ws2a">Faces: diafragmática e visceral</div><div class="t m0 x7 h4 y14 ff3 fs1 fc0 sc0 ls16 ws2a">Margens: superior e inferior</div><div class="t m0 x7 h4 y15 ff3 fs1 fc0 sc0 ls16 ws2a">Ligamentos (reflexão do peritônio em direção a uma vís-</div><div class="t m0 x7 h4 y16 ff3 fs1 fc0 sc0 ls16 ws2a">cera sólida): coronário, falciforme, redondo, triangular </div><div class="t m0 x7 h4 y17 ff3 fs1 fc0 sc0 ls16 ws2a">direito e triangular esquerdo </div><div class="t m0 x9 h4 y18 ff3 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">*ligamento redondo: vai até o umbigo, por onde entra a </span></div><div class="t m0 x9 h4 y19 ff3 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">veia umbilical</span></div><div class="t m0 x6 h4 y1a ff3 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">*ligamentos fixam o fígado principalment</span><span class="blank _0"></span><span class="fc3 sc0">e ao diafragma, à </span></div><div class="t m0 x6 h4 y1b ff3 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">parede ant</span><span class="blank _0"></span><span class="fc3 sc0">erior e ao umbigo</span></div><div class="t m0 x7 h4 y1c ff3 fs1 fc0 sc0 ls16 ws2a"><span class="fc3 sc0">Hilo hepático/Porta hepatis:</span></div><div class="t m0 x2 h4 y1d ff3 fs1 fc0 sc0 ls16 ws2a">-> artéria hepática</div><div class="t m0 x2 h4 y1e ff3 fs1 fc0 sc0 ls16 ws2a">-> veia porta</div><div class="t m0 xa h4 y1f ff3 fs1 fc0 sc0 ls16 ws2a">-> ducto hepático</div><div class="t m0 xa h4 y20 ff3 fs1 fc0 sc0 ls16 ws2a">-> vasos linfáticos</div><div class="t m0 x9 h4 y21 ff3 fs1 fc0 sc0 ls16 ws2a">-> nervos</div><div class="t m0 xb h7 y22 ff7 fs1 fc1 sc0 ls16 ws2a">*tríade portal sequência: ducto biliar à direita, artéria </div><div class="t m0 xc h7 y23 ff7 fs1 fc1 sc0 ls16 ws2a">hepática à esquerda e veia porta atrás</div><div class="t m0 xd h6 y24 ff6 fs1 fc0 sc0 ls18 ws2a">> <span class="fc2 ls19">Fa<span class="blank _1"> </span>c<span class="blank _1"> </span>e<span class="blank _1"> </span> <span class="blank _1"> </span>Vi<span class="blank _1"> </span>sc<span class="blank _1"> </span>e<span class="blank _1"> </span>ral</span></div><div class="t m0 xe h6 y25 ff6 fs1 fc0 sc0 ls18 ws2a">> <span class="fc2 ls1a">Divisã<span class="blank _1"> </span>o <span class="blank _1"> </span>Fun<span class="blank _1"> </span>ci<span class="blank _1"> </span><span class="ff8 ws2">\ue00a</span>al<span class="blank _1"> </span> C<span class="blank _1"> </span>ir<span class="blank _1"> </span>úr<span class="blank _0"></span>gi<span class="blank _1"> </span>c<span class="blank _1"> </span>a</span></div><div class="t m1 xf h8 y26 ff9 fs2 fc3 sc0 ls16">-</div><div class="t m2 x10 h9 y27 ff9 fs3 fc3 sc0 ls1b ws3">FACE</div><div class="t m3 xf ha y28 ff9 fs4 fc3 sc0 ls16">.</div><div class="t m4 x11 hb y29 ff9 fs5 fc3 sc0 ls1c ws4">VISCERAL</div><div class="t m5 x12 hc y2a ffa fs6 fc3 sc0 ls2 ws5">KE.kz</div><div class="t m6 x6 hd y2b ff9 fs7 fc3 sc0 ls16">-</div><div class="t m7 x13 he y2c ff9 fs8 fc3 sc0 ls1d ws6">FACE</div><div class="t m8 x13 hf y2d ff9 fs9 fc3 sc0 ls3 ws7">DIAFRAGMÁ<span class="blank _2"></span>TICA</div><div class="t m9 x14 h10 y2e ff9 fsa fc3 sc0 ls1e ws8">OMENTO</div><div class="t ma x15 h11 y2f ff9 fsb fc3 sc0 ls4 ws9">MENOR</div><div class="t mb x16 h12 y30 ff9 fsc fc3 sc0 ls16">-</div><div class="t mc x17 h13 y31 ff9 fsd fc3 sc0 ls16">*</div><div class="t md x18 h14 y32 ff9 fse fc3 sc0 ls16">"</div><div class="t me x19 h15 y33 ff9 fsf fc3 sc0 ls16">H</div><div class="t mf x1a h16 y34 ff9 fs10 fc3 sc0 ls16">"</div><div class="t m10 x1b h17 y35 ff9 fs11 fc3 sc0 ls1f">do</div><div class="t m11 x1c h18 y36 ff9 fs12 fc3 sc0 ls5 wsa">fígado</div><div class="t m12 x9 h19 y37 ff9 fs13 fc3 sc0 ls16">\u2022</div><div class="t m13 x1d h1a y38 ffb fs14 fc3 sc0 ls16">\u2192</div><div class="t m14 x1e h1b y39 ff9 fs15 fc3 sc0 ls20 wsb">volt<span class="blank"> </span>a<span class="blank"> </span>d<span class="blank"> </span>a</div><div class="t m15 x1f h1c y3a ff9 fs16 fc3 sc0 ls16">"</div><div class="t m16 x20 h1d y3b ff9 fs17 fc3 sc0 ls21 wsc">para</div><div class="t m17 x21 h1e y3c ff9 fs18 fc3 sc0 ls6 wsd">baixo</div><div class="t m18 x22 h1f y3d ff9 fs19 fc3 sc0 ls16">"</div><div class="t m19 x23 h20 y3e ffc fs1a fc3 sc0 ls16">\u21b3</div><div class="t m1a x24 h21 y3f ff9 fs1b fc3 sc0 ls22 wse">volt<span class="blank"> </span>a<span class="blank"> </span>d<span class="blank"> </span>a</div><div class="t m1b x25 h22 y40 ff9 fs1c fc3 sc0 ls16">"</div><div class="t m1c x26 h23 y41 ff9 fs1d fc3 sc0 ls23 wsf">para</div><div class="t m1d x27 h24 y42 ff9 fs1e fc3 sc0 ls24 ws10">cima</div><div class="t m1e x28 h25 y43 ff9 fs1f fc3 sc0 ls16">"</div><div class="t m1f x29 h26 y44 ffd fs20 fc3 sc0 ls25">Gq</div><div class="t m20 x2a h27 y45 ff9 fs21 fc3 sc0 ls7 ws11">SNLCO</div><div class="t m21 x2b h28 y46 ff9 fs22 fc3 sc0 ls26">DO</div><div class="t m22 x2c h29 y47 ff9 fs23 fc3 sc0 ls8 ws12">LIGAMENTO</div><div class="t m23 x2d h2a y48 ff9 fs24 fc3 sc0 ls27">VEIA</div><div class="t m24 x2e h2b y49 ff9 fs25 fc3 sc0 ls28 ws13">CAV<span class="blank _0"></span>A</div><div class="t m25 xf h2c y4a ff9 fs26 fc3 sc0 ls16">.</div><div class="t m26 x10 h2d y4b ff9 fs27 fc3 sc0 ls16">*</div><div class="t m27 x2f h2e y4c ff9 fs28 fc3 sc0 ls9 ws14">não</div><div class="t m28 x30 h2f y4d ff9 fs29 fc3 sc0 lsa ws15">inferior</div><div class="t m29 x31 h30 y4e ffe fs2a fc3 sc0 ls29">Ny</div><div class="t m2a x29 h31 y4f fff fs2b fc3 sc0 ls2a">1-</div><div class="t m2b x6 h32 y50 ff9 fs2c fc3 sc0 ls16">/</div><div class="t m2c x29 h33 y51 ffa fs2d fc3 sc0 ls16">]</div><div class="t m2d x32 h34 y52 ff9 fs2e fc3 sc0 ls16">-</div><div class="t m2e x1c h35 y53 ff9 fs2f fc3 sc0 ls16">.</div><div class="t m2f x33 h36 y54 ff9 fs30 fc3 sc0 ls16">.</div><div class="t m30 x34 h37 y55 ff9 fs31 fc3 sc0 ls16">.</div><div class="t m31 x35 h38 y56 ff9 fs32 fc3 sc0 ls2b">Gig</div><div class="t m32 x29 h39 y57 ff10 fs33 fc3 sc0 ls16">µ</div><div class="t m33 xe h3a y58 ff9 fs34 fc3 sc0 ls16">.</div><div class="t m34 x36 h3b y59 ff9 fs35 fc3 sc0 ls2c ws16">HILO</div><div class="t m35 x29 h3c y5a ffa fs36 fc3 sc0 ls2d">f.</div><div class="t m36 x37 h3d y5b ff9 fs37 fc3 sc0 lsb ws17">suco</div><div class="t m37 x38 h3e y5c ff9 fs38 fc3 sc0 ls2e">Do</div><div class="t m38 x39 h3f y5d ff9 fs39 fc3 sc0 lsc ws18">LIGAMENT<span class="blank _0"></span>O</div><div class="t m39 x29 h40 y5e ff9 fs3a fc3 sc0 ls16">-</div><div class="t m3a x3a h41 y5f ff9 fs3b fc3 sc0 ls16">"</div><div class="t m3b x3b h42 y60 ff9 fs3c fc3 sc0 ls16">"</div><div class="t m3c x38 h43 y61 ff9 fs3d fc3 sc0 ls16">"</div><div class="t m3d x3c h44 y62 ff9 fs3e fc3 sc0 ls16">"</div><div class="t m3e x1c h45 y63 ff9 fs3f fc3 sc0 ls16">"</div><div class="t m3f x3d h46 y64 ff9 fs40 fc3 sc0 ls16">"</div><div class="t m40 x3e h47 y65 ff9 fs41 fc3 sc0 ls16">"</div><div class="t m41 x29 h48 y66 ff9 fs42 fc3 sc0 ls16">-</div><div class="t m42 x2e h49 y67 ff9 fs43 fc3 sc0 lsd ws19">Biliar</div><div class="t m43 x3f h4a y68 ff11 fs44 fc3 sc0 ls2f ws1a">gost<span class="blank _0"></span>o</div><div class="t m44 x40 h4b y69 ffa fs45 fc3 sc0 lse ws1b">go<span class="blank _2"></span>zassem</div><div class="t m45 x41 h4c y6a ff10 fs46 fc3 sc0 ls16">!</div><div class="t m46 x29 h4d y6b ffa fs47 fc3 sc0 ls16">=</div><div class="t m47 x41 h4e y6c ff9 fs48 fc3 sc0 ls30">ig</div><div class="t m48 x9 h4f y6d ff9 fs49 fc3 sc0 ls16">></div><div class="t m49 x8 h50 y6e ff9 fs4a fc3 sc0 lsf ws1c">entram</div><div class="t m4a x42 h51 y6f ff9 fs4b fc3 sc0 ls31">por</div><div class="t m4b x43 h52 y70 ff9 fs4c fc3 sc0 ls32">um</div><div class="t m4c x44 h53 y71 ff9 fs4d fc3 sc0 ls33">mesmo</div><div class="t m4d x45 h54 y72 ff9 fs4e fc3 sc0 ls34 ws1d">lugar</div><div class="t m4e x46 h55 y73 ff9 fs4f fc3 sc0 ls10 ws1e">estruturas</div><div class="t m4f x47 h56 y74 ff9 fs50 fc3 sc0 ls35 ws1f">vas<span class="blank"> </span>cu<span class="blank"> </span>l<span class="blank"> </span>a<span class="blank"> </span>r<span class="blank"> </span>e<span class="blank"> </span>s</div><div class="t m50 x48 h57 y75 ff9 fs51 fc3 sc0 ls16">e</div><div class="t m51 x49 h58 y76 ff9 fs52 fc3 sc0 ls36 ws20">nervosas</div><div class="t m52 x4a h59 y77 ff9 fs53 fc3 sc0 ls37">no</div><div class="t m53 x4b h5a y78 ff9 fs54 fc3 sc0 ls38 ws21">órgão</div><div class="t m54 x29 h5b y79 ff9 fs55 fc3 sc0 ls16">-</div><div class="t m55 x29 h5c y7a ff9 fs56 fc3 sc0 ls16">-</div><div class="t m56 x6 h5d y7b ff9 fs57 fc3 sc0 ls16">-</div><div class="t m57 x4c h5e y7c ff9 fs58 fc3 sc0 ls16">-</div><div class="t m58 x4d h5f y7d ff9 fs59 fc3 sc0 ls39">rs</div><div class="t m59 x4e h60 y7e ff9 fs5a fc3 sc0 ls3a ws22">vamo</div><div class="t m5a x28 h61 y7f ff9 fs5b fc3 sc0 ls3b">do</div><div class="t m5b x4 h62 y80 ff9 fs5c fc3 sc0 ls11 ws23">tronco</div><div class="t m5c x4f h63 y81 ff9 fs5d fc3 sc0 ls12 ws24">celíaco</div><div class="t m5d x50 h64 y82 ff9 fs5e fc3 sc0 ls16">></div><div class="t m5e x51 h65 y83 ff9 fs5f fc3 sc0 ls3c">maior</div><div class="t m5f x52 h66 y84 ff9 fs60 fc3 sc0 ls13 ws25">estrutura</div><div class="t m60 x53 h67 y85 ff9 fs61 fc3 sc0 ls3d">do</div><div class="t m61 x54 h68 y86 ff9 fs62 fc3 sc0 ls3e">hilo</div><div class="t m62 x29 h69 y87 ff9 fs63 fc3 sc0 ls16">-</div><div class="t m63 x55 h6a y88 ff9 fs64 fc3 sc0 ls3f">rs</div><div class="t m64 x51 h6b y89 ff9 fs65 fc3 sc0 ls40 ws26">confluência</div><div class="t m65 x56 h6c y8a ff9 fs66 fc3 sc0 ls41">v.</div><div class="t m66 x57 h6d y8b ff9 fs67 fc3 sc0 ls14 ws27">mesentérica</div><div class="t m67 x58 h6e y8c ff9 fs68 fc3 sc0 ls15 ws28">superior</div><div class="t m68 x59 h6f y8d ff9 fs69 fc3 sc0 ls42">com</div><div class="t m69 x5a h70 y8e ff9 fs6a fc3 sc0 ls43">v.</div><div class="t m6a x5b h71 y8f ff9 fs6b fc3 sc0 ls44 ws29">esplênica</div><div class="t m6b x4c h72 y90 ff9 fs6c fc3 sc0 ls16">-</div><div class="t m6c x29 h73 y91 ffa fs6d fc3 sc0 ls16">=</div><div class="t m6d x5c h74 y92 ffa fs6e fc3 sc0 ls45">G.</div><div class="t m6e x4c h75 y93 ff9 fs6f fc3 sc0 ls16">-</div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/2b458b7f-6ec1-4d70-8777-363e94684740/bg2.png"><div class="c x0 y0 w0 h2"><div class="t m0 x1 h3 y1 ff1 fs0 fc0 sc0 ls16 ws2a">Brendha F. Pedro<span class="ff2 ls0">!<span class="ff1">i #85 MedPuc-PR</span></span></div></div><div class="t m0 x5d h4 y94 ff3 fs1 fc0 sc0 ls16 ws2a">Divisão funcional em 8 seguimentos</div><div class="t m0 x5e h4 y95 ff3 fs1 fc0 sc0 ls16 ws2a">Part<span class="blank _0"></span>e hepática post<span class="blank _0"></span>erior:</div><div class="t m0 x5e h4 y96 ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento I (caudado)</div><div class="t m0 x5e h4 y97 ff3 fs1 fc0 sc0 ls16 ws2a">Part<span class="blank _0"></span>e hepática esquerda:</div><div class="t m0 x5e h4 y98 ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento II (post<span class="blank _0"></span>erior lat<span class="blank _0"></span>eral esquerdo)</div><div class="t m0 x5e h4 y99 ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento III (ant<span class="blank _0"></span>erior lat<span class="blank _0"></span>eral esquerdo)</div><div class="t m0 x5e h4 y9a ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento IV (medial esquerdo superior/inferior)</div><div class="t m0 x5e h4 y9b ff3 fs1 fc0 sc0 ls16 ws2a">Part<span class="blank _0"></span>e hepática direita:</div><div class="t m0 x5e h4 y9c ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento V (ant<span class="blank _0"></span>erior medial direito)</div><div class="t m0 x5e h4 y9d ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento VI (ant<span class="blank _0"></span>erior lat<span class="blank _0"></span>eral direito)</div><div class="t m0 x5e h4 y9e ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento VII (post<span class="blank _0"></span>erior lat<span class="blank _0"></span>eral direito)</div><div class="t m0 x5e h4 y9f ff3 fs1 fc0 sc0 ls16 ws2a">-> segmento VIII (post<span class="blank _0"></span>erior medial direito)</div><div class="t m0 x5e h6 ya0 ff6 fs1 fc0 sc0 ls18 ws2a">> <span class="fc2 ls4a ws2b">Lóbul<span class="ff8">\ue00e</span></span></div><div class="t m0 x5d h4 ya1 ff3 fs1 fc0 sc0 ls16 ws2a">Formados por colunas de hepatócitos</div><div class="t m0 x5d h4 ya2 ff3 fs1 fc0 sc0 ls16 ws2a">Sangue provenient<span class="blank _0"></span>e da artéria hepática e da veia por-</div><div class="t m0 x5d h4 ya3 ff3 fs1 fc0 sc0 ls16 ws2a">ta vão circular pelos sinusóides hepáticos até a veia </div><div class="t m0 x5d h4 ya4 ff3 fs1 fc0 sc0 ls16">central</div><div class="t m0 x5f h4 ya5 ff3 fs1 fc0 sc0 ls16 ws2a">Da veia central, o sangue retorna para a veia cava </div><div class="t m0 x5f h4 ya6 ff3 fs1 fc0 sc0 ls16">inferior</div><div class="t m0 x5f h4 ya7 ff3 fs1 fc0 sc0 ls16 ws2a">Inflamação do espaço porta pode resultar em uma </div><div class="t m0 x5f h4 ya8 ff3 fs1 fc0 sc0 ls16 ws2a">fibrose, que gerará cicatrizes = cirrose hepática</div><div class="t m0 x60 h4 ya9 ff3 fs1 fc0 sc0 ls16 ws2a">Cirrose pode dificultar o trânsito do sangue entre os </div><div class="t m0 x60 h4 yaa ff3 fs1 fc0 sc0 ls16 ws2a">sinusóides em direção à veia central e à veia cava => </div><div class="t m0 x60 h4 yab ff3 fs1 fc0 sc0 ls16 ws2a">aumento da pressão dentro do sist<span class="blank _0"></span>ema porta = <span class="fc4">hiper-</span></div><div class="t m0 x60 h4 yac ff3 fs1 fc4 sc0 ls16 ws2a">t<span class="blank _0"></span>ensão portal</div><div class="t m0 x8 h76 yad ff3 fs70 fc0 sc0 ls16 ws2a">*cirrose: lesões causadas pelo consumo de álcool ou hepatit<span class="blank _0"></span>es</div><div class="t m0 x61 h4 yae ff3 fs1 fc0 sc0 ls16 ws2a">Hipert<span class="blank _0"></span>ensão portal pode levar a transudação de líqui-</div><div class="t m0 x61 h4 yaf ff3 fs1 fc0 sc0 ls16 ws2a">do para dentro da cavidade peitoneal = <span class="fc5 ws2c">ascit<span class="blank _0"></span>e</span></div><div class="t m0 x62 h6 yb0 ff6 fs1 fc0 sc0 ls46 ws2a">Vias B<span class="blank _0"></span>iliar<span class="blank _0"></span>es</div><div class="t m0 x63 h4 yb1 ff3 fs1 fc0 sc0 ls16 ws2a">Função da bile: emulsificação de gorduras</div><div class="t m0 x64 h6 yb2 ff6 fs1 fc0 sc0 ls18 ws2a">> <span class="fc2 ls47">V<span class="blank _0"></span>esícul<span class="blank _0"></span>a Biliar<span class="blank _2"></span></span></div><div class="t m0 x65 h4 yb3 ff3 fs1 fc0 sc0 ls16 ws2a">Part<span class="blank _0"></span>es: fundo, corpo, colo ou infundíbulo</div><div class="t m0 x64 h4 yb4 ff3 fs1 fc0 sc0 ls16 ws2a">III) Ducto hepático + ducto cístico -> ducto colédoco</div><div class="t m0 x65 h4 yb5 ff3 fs1 fc0 sc0 ls16 ws2a">Artéria cística: ramo da artéria hepática direita geral-</div><div class="t m0 x65 h4 yb6 ff3 fs1 fc0 sc0 ls16 ws2c">ment<span class="blank _0"></span>e</div><div class="t m0 x66 h4 yb7 ff3 fs1 fc0 sc0 ls16 ws2a">II) Ductos biliares se unem e formam o ducto hepático </div><div class="t m0 x66 h4 yb8 ff3 fs1 fc0 sc0 ls16">comum</div><div class="t m0 x67 h4 yb9 ff3 fs1 fc0 sc0 ls16 ws2a">Produção hepática de bile é contínua</div><div class="t m0 x65 h4 yba ff3 fs1 fc0 sc0 ls16 ws2a">I) Bile saí do fígado pelos ductos biliares (ducto hepáticos </div><div class="t m0 x65 h4 ybb ff3 fs1 fc0 sc0 ls16 ws2a">direito e esquerdo)</div><div class="t m0 x68 h4 ybc ff3 fs1 fc0 sc0 ls16 ws2a">Entre refeições, ela é armazenada na vesícula biliar </div><div class="t m0 xd h4 ybd ff3 fs1 fc0 sc0 ls16 ws2a">- alimento chega ao duodeno -> vesículas biliares en-</div><div class="t m0 xd h4 ybe ff3 fs1 fc0 sc0 ls16 ws2a">viam a bile concentrada para o duodeno por meio das </div><div class="t m0 xd h4 ybf ff3 fs1 fc0 sc0 ls16 ws2a">vesículas biliares</div><div class="t m0 x65 h4 yc0 ff3 fs1 fc0 sc0 ls16">Caminho:</div><div class="t m0 x62 h4 yc1 ff3 fs1 fc0 sc0 ls16 ws2a">*com exceção da gordura, todos os nutrient<span class="blank _0"></span>es absorvidos </div><div class="t m0 x62 h4 yc2 ff3 fs1 fc0 sc0 ls16 ws2a">pelo sist<span class="blank _0"></span>ema digestório são levados ao fígado pelo sist<span class="blank _0"></span>ema </div><div class="t m0 x69 h4 yc3 ff3 fs1 fc0 sc0 ls16 ws2a">venoso porta</div><div class="t m0 x64 h4 yc4 ff3 fs1 fc0 sc0 ls16 ws2a">IV) Ampola hepato-pancreática (papila de Vat<span class="blank _0"></span>er) </div><div class="t m6f x6a h77 yc5 ff9 fs71 fc3 sc0 ls16"><span class="fc3 sc0">></span></div><div class="t m70 x6b h78 yc6 ff9 fs72 fc3 sc0 ls48 ws2d"><span class="fc3 sc0">nó</span><span class="fc3 sc0">dul</span><span class="fc3 sc0">o</span><span class="fc3 sc0">s</span></div><div class="t m71 x38 h79 yc7 ff9 fs73 fc3 sc0 ls4b"><span class="fc3 sc0">de</span></div><div class="t m72 x32 h7a yc8 ff9 fs74 fc3 sc0 ls4c ws2e"><span class="fc3 sc0">re</span><span class="fc3 sc0">g</span><span class="fc3 sc0">e</span><span class="blank"> </span><span class="fc3 sc0">n</span><span class="blank"> </span><span class="fc3 sc0">e</span><span class="blank"> </span><span class="fc3 sc0">r</span><span class="blank"> </span><span class="fc3 sc0">a</span><span class="blank"> </span><span class="fc3 sc0">ç</span><span class="blank"> </span><span class="fc3 sc0">ã</span><span class="blank"> </span><span class="fc3 sc0">o</span></div><div class="t m73 x6c h7b yc9 ff9 fs75 fc3 sc0 ls16"><span class="fc3 sc0">/</span></div><div class="t m74 x30 h7c yca ff9 fs76 fc3 sc0 ls4d ws2f"><span class="fc3 sc0">ci</span><span class="fc3 sc0">cat</span><span class="fc3 sc0">ri</span><span class="fc3 sc0">z</span><span class="fc3 sc0">ação</span></div><div class="t m75 x6d h7d ycb ff9 fs77 fc3 sc0 ls4e"><span class="fc3 sc0">do</span></div><div class="t m76 x6e h7e ycc ff9 fs78 fc3 sc0 ls49 ws30"><span class="fc3 sc0">t</span><span class="fc3 sc0">ecido</span></div><div class="t m77 x6f h7f ycd ff9 fs79 fc3 sc0 ls4f ws31"><span class="fc3 sc0">hepá</span><span class="fc3 sc0">tic</span><span class="fc3 sc0">o</span></div><div class="t m78 x8 h80 yce ff9 fs7a fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m79 x70 h81 ycf ff9 fs7b fc3 sc0 ls50 ws32"><span class="fc3 sc0">Di</span><span class="fc3 sc0">r</span><span class="fc3 sc0">e</span><span class="fc3 sc0">i</span><span class="fc3 sc0">t</span><span class="fc3 sc0">o</span></div><div class="t m7a x46 h82 yd0 ff12 fs7c fc3 sc0 ls16"><span class="fc3 sc0">\udb8b\udc1b</span></div><div class="t m7b x56 h83 yd1 ff9 fs7d fc3 sc0 ls16"><span class="fc3 sc0">"</span></div><div class="t m7c x71 h84 yd2 ff9 fs7e fc3 sc0 ls16"><span class="fc3 sc0">"</span></div><div class="t m7d x4 h85 yd3 ff9 fs7f fc3 sc0 ls16"><span class="fc3 sc0">"</span></div><div class="t m7e x58 h86 yd4 ff9 fs80 fc3 sc0 ls51 ws33"><span class="fc3 sc0">eba</span><span class="blank _0"></span><span class="fc3 sc0">y</span><span class="blank _3"></span><span class="fc3 sc0">.szzj</span><span class="fc3 sc0">E</span><span class="fc3 sc0">E</span><span class="fc3 sc0">D</span><span class="blank _2"></span><span class="fc3 sc0">Y</span><span class="blank _3"></span><span class="fc3 sc0">JYI</span><span class="fc3 sc0">F</span><span class="blank _3"></span><span class="fc3 sc0">.I</span><span class="fc3 sc0">E</span></div><div class="t m7f x72 h87 yd5 ff9 fs81 fc3 sc0 ls16"><span class="fc3 sc0">e</span></div><div class="t m80 x58 h88 yd6 ff9 fs82 fc3 sc0 ls52"><span class="fc3 sc0">C-</span></div><div class="t m81 x73 h89 yd7 ffa fs83 fc3 sc0 ls16"><span class="fc3 sc0">|</span></div><div class="t m82 x58 h8a yd8 ff9 fs84 fc3 sc0 ls16"><span class="fc3 sc0">_</span></div><div class="t m83 x74 h8b yd9 ff9 fs85 fc3 sc0 ls16"><span class="fc3 sc0">.</span></div><div class="t m84 x53 h8c yda ff9 fs86 fc3 sc0 ls16"><span class="fc3 sc0">w</span></div><div class="t m85 x75 h8d ydb ff9 fs87 fc3 sc0 ls16"><span class="fc3 sc0">.</span></div><div class="t m86 x58 h8e ydc ffa fs88 fc3 sc0 ls53"><span class="fc3 sc0">F-</span></div><div class="t m87 x76 h8f ydd ffa fs89 fc3 sc0 ls54"><span class="fc3 sc0">peso</span></div><div class="t m88 x7 h90 yde ff9 fs8a fc3 sc0 ls16"><span class="fc3 sc0">I</span></div><div class="t m89 x7 h91 ydf ff9 fs8b fc3 sc0 ls16"><span class="fc3 sc0">/</span></div><div class="t m8a x4c h92 ye0 ffa fs8c fc3 sc0 ls16"><span class="fc3 sc0">i</span></div><div class="t m8b x7 h93 ye1 ff9 fs8d fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m8c x29 h94 ye2 ff9 fs8e fc3 sc0 ls16"><span class="fc3 sc0">/</span></div><div class="t m8d x64 h95 ye3 ff13 fs8f fc3 sc0 ls16"><span class="fc3 sc0">:</span></div><div class="t m8e xd h96 ye4 ff9 fs90 fc3 sc0 ls16"><span class="fc3 sc0">I</span></div><div class="t m8f x77 h97 ye5 ff9 fs91 fc3 sc0 ls55"><span class="fc3 sc0">f-</span></div><div class="t m90 x78 h98 ye6 ff9 fs92 fc3 sc0 ls56"><span class="fc3 sc0">os</span></div><div class="t m91 x77 h99 ye7 ff9 fs93 fc3 sc0 ls57"><span class="fc3 sc0">B-</span></div><div class="t m92 x79 h9a ye8 ff9 fs94 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m93 x29 h9b ye9 ff9 fs95 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m94 x78 h9c yea ff9 fs96 fc3 sc0 ls58"><span class="fc3 sc0">D-</span></div><div class="t m95 x8 h9d yeb ff9 fs97 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m96 x7a h9e yec ff9 fs98 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m97 x79 h9f yed ff9 fs99 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m98 x8 ha0 yee ff9 fs9a fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m99 x7a ha1 yef ff9 fs9b fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m9a x7b ha2 yf0 ff9 fs9c fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m9b x7c ha3 yf1 ff9 fs9d fc3 sc0 ls59"><span class="fc3 sc0">Sos</span></div><div class="t m9c x7b ha4 yf2 ff9 fs9e fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m9d x7a ha5 yf3 ff9 fs9f fc3 sc0 ls5a"><span class="fc3 sc0">Sa</span></div><div class="t m9e x7b ha6 yf4 ff9 fsa0 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t m9f x7d ha7 yf5 ff9 fsa1 fc3 sc0 ls16"><span class="fc3 sc0">'</span></div><div class="t ma0 x7a ha8 yf6 ff9 fsa2 fc3 sc0 ls5b"><span class="fc3 sc0">f-</span></div><div class="t ma1 x7b ha9 yf7 ff9 fsa3 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma2 x29 haa yf8 ff9 fsa4 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma3 x7b hab yf9 ff9 fsa5 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma4 x5e hac yfa ff9 fsa6 fc3 sc0 ls16"><span class="fc3 sc0">'</span></div><div class="t ma5 x7a had yfb ff9 fsa7 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma6 x5c hae yfc ff9 fsa8 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma7 x4c haf yfd ff9 fsa9 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t ma8 x5c hb0 yfe ff9 fsaa fc3 sc0 ls5c"><span class="fc3 sc0">a-</span></div><div class="t ma9 x29 hb1 yff ff9 fsab fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t maa x79 hb2 y100 ff9 fsac fc3 sc0 ls16"><span class="fc3 sc0">E</span></div><div class="t mab x7e hb3 y101 ff9 fsad fc3 sc0 ls5d ws34"><span class="fc3 sc0">sa</span><span class="fc3 sc0">l</span><span class="fc3 sc0">a</span><span class="fc3 sc0">s</span></div><div class="t mac x7b hb4 y102 ff9 fsae fc3 sc0 ls16"><span class="fc3 sc0">_</span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/2b458b7f-6ec1-4d70-8777-363e94684740/bg3.png"><div class="c x0 y0 w0 h2"><div class="t m0 x1 h3 y1 ff1 fs0 fc0 sc0 ls16 ws2a">Brendha F. Pedro<span class="ff2 ls0">!<span class="ff1">i #85 MedPuc-PR</span></span></div></div><div class="t m0 x6 h6 y103 ff6 fs1 fc0 sc0 ls5f ws35">Pâ<span class="blank"> </span>n<span class="blank"> </span>c<span class="blank"> </span>r<span class="blank _4"> </span>e<span class="blank"> </span>a<span class="blank"> </span>s</div><div class="t m0 xa h4 y104 ff3 fs1 fc0 sc0 ls16 ws2a">Glândula digestiva (part<span class="blank _0"></span>e exócrina)</div><div class="t m0 xa h4 y105 ff3 fs1 fc0 sc0 ls16 ws2a">Também possui uma part<span class="blank _0"></span>e endócrina</div><div class="t m0 x7 h4 y106 ff3 fs1 fc0 sc0 ls16 ws2a">Órgão retroperitoneal</div><div class="t m0 x7 h4 y107 ff3 fs1 fc0 sc0 ls16 ws2a">Localizado atrás do estômago (epigástrio e mesogástrio)</div><div class="t m0 x3 h4 y108 ff3 fs1 fc0 sc0 ls16 ws2a">Entre duodeno e baço</div><div class="t m0 x3 h4 y109 ff3 fs1 fc0 sc0 ls16 ws2a">Part<span class="blank _0"></span>es: cabeça, colo, corpo e cauda</div><div class="t m0 x3 h4 y10a ff3 fs1 fc0 sc0 ls16 ws2a">Ducto pancreático principal (Wirsung) e ducto </div><div class="t m0 x3 h4 y10b ff3 fs1 fc0 sc0 ls16 ws2a">pancreático acessório (Santorini)</div><div class="t m0 x2 h4 y10c ff3 fs1 fc0 sc0 ls16 ws2a">Processo uncinado: dá a volta na artéria e veia mesenté-</div><div class="t m0 x2 h4 y10d ff3 fs1 fc0 sc0 ls16 ws2a">rica superior</div><div class="t m0 x9 h6 y10e ff6 fs1 fc0 sc0 ls60 ws36">Ba<span class="blank"> </span>ç<span class="blank"> </span>o</div><div class="t m0 x7 h4 y10f ff3 fs1 fc0 sc0 ls16 ws2a">Maior órgão linfóide</div><div class="t m0 x2 h4 y110 ff3 fs1 fc0 sc0 ls16 ws2a">Localização intraperitoneal (hipocôndrio esquerdo)</div><div class="t m0 x2 h4 y111 ff3 fs1 fc0 sc0 ls16 ws2a">Funções: </div><div class="t m0 x2 h4 y112 ff3 fs1 fc0 sc0 ls16 ws2a">- formação de linfócitos e monócitos</div><div class="t m0 x9 h4 y113 ff3 fs1 fc0 sc0 ls16 ws2a">- defesa do organismo: linfócitos T e B, macrófagos </div><div class="t m0 x9 h4 y114 ff3 fs1 fc0 sc0 ls16 ws2a">- hemocat<span class="blank _0"></span>erese: destruição de hemácias</div><div class="t m0 x9 h4 y115 ff3 fs1 fc0 sc0 ls16 ws2a">- armazenamento do sangue</div><div class="t m0 x2 h4 y116 ff3 fs1 fc0 sc0 ls16 ws2a">Face visceral e face diafragmática</div><div class="t m0 x2 h4 y117 ff3 fs1 fc0 sc0 ls16 ws2a">Hilo esplênico ou lienal: artéria esplênica, veia espênica, </div><div class="t m0 x2 h4 y118 ff3 fs1 fc0 sc0 ls16 ws2a">vasos linfáticos e nervos do plexo celíaco</div><div class="t mad xf hb5 y119 ffa fsaf fc3 sc0 ls61 ws37"><span class="fc3 sc0">ST</span><span class="blank _5"></span><span class="fc3 sc0">A</span><span class="blank _5"></span><span class="fc3 sc0">T</span></div><div class="t mae x7a hb6 y11a ff9 fsb0 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t maf x6 hb7 y11b ff14 fsb1 fc3 sc0 ls16"><span class="fc3 sc0">i</span></div><div class="t mb0 x7a hb8 y11c ffa fsb2 fc3 sc0 ls62"><span class="fc3 sc0">E-</span></div><div class="t mb1 x6 hb9 y11d ff15 fsb3 fc3 sc0 ls16"><span class="fc3 sc0">:</span></div><div class="t mb2 x77 hba y11e ff9 fsb4 fc3 sc0 ls16"><span class="fc3 sc0">_</span></div><div class="t mb3 x7c hbb y11f ffa fsb5 fc3 sc0 ls16"><span class="fc3 sc0">=</span></div><div class="t mb4 xf hbc y120 ff9 fsb6 fc3 sc0 ls16"><span class="fc3 sc0">'</span></div><div class="t mb5 x29 hbd y121 ff9 fsb7 fc3 sc0 ls16"><span class="fc3 sc0">-</span></div><div class="t mb6 x7f hbe y122 ff9 fsb8 fc3 sc0 ls63"><span class="fc3 sc0">B-</span></div><div class="t mb7 x80 hbf y123 ffb fsb9 fc3 sc0 ls16"><span class="fc3 sc0">\u2192</span></div><div class="t mb8 x81 hc0 y124 ff9 fsba fc3 sc0 ls64 ws38"><span class="fc3 sc0">ace</span><span class="fc3 sc0">s</span><span class="fc3 sc0">s</span><span class="fc3 sc0">ório</span></div><div class="t mb9 x82 hc1 y125 ff9 fsbb fc3 sc0 ls65 ws39"><span class="fc3 sc0">pr</span><span class="fc3 sc0">intipa</span><span class="fc3 sc0">l</span></div><div class="t mba xf hc2 y126 ff16 fsbc fc3 sc0 ls16"><span class="fc3 sc0">=</span></div><div class="t mbb xf hc3 y127 ff17 fsbd fc3 sc0 ls16"><span class="fc3 sc0">:</span></div><div class="t mbc xf hc4 y128 ff18 fsbe fc3 sc0 ls16"><span class="fc3 sc0">:</span></div><div class="t mbd x83 hc5 y129 ff9 fsbf fc3 sc0 ls66"><span class="fc3 sc0">f-</span></div><div class="t mbe x25 hc6 y12a ff9 fsc0 fc3 sc0 ls5e ws3a"><span class="fc3 sc0">JI</span><span class="fc3 sc0">M</span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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