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Stimulus Phospo lipaseA2

Steroids Cedera/Trauma
Lipocortin

NSAIDs

Membran Sel

Phospholipids

Lipoxygenase
Hydroperoxy And hidroxy fatty acid Leucotrie ne (LTD4 and C4 = SRS-A)

Cyclooxygenase

Prostaglandin Isomerase Prostaglandins -PGE2 -PGD2

Thromboxane synthase
Tromboxane-A2 Pistelet IP3 Aggregation Vasocontriction

Prostacyclin synthase
Platelet cAMP Dissagregation Vasodilatation

Trauma/luka

OPIOID
Cedera/Trauma

OPIOID

Thalamus

Reticular formation

Membran Sel Neospinothalamic


Phospolip ase-A2

Paleospinothalamic

Phospholipids NSAID Nociceptor

Steroids

Prostaglandin

Lipoksigenase

Siklooksigenase COX-1 COX-2


Inflamasi

Leukotrien
LTB4 LTC4

Aktivasi fagosit Peradangan

PG fisiologis : Proteksi GIT Proteksi Ginjal Relaksasi otot polos Regulasi agregasi platelet

PG patologis : Inflamasi Leukositosis Aktivasi Leukosit utk melepas sitokin

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