KP 5.12 Anatomi Digestivesystem

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1 The Digestive System

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Transcript of KP 5.12 Anatomi Digestivesystem

  • *The Digestive System

  • *DigestionProcessing of foodTypesMechanical (physical)ChewTearGrindMashMixChemicalCatabolic reactionsEnzymatic hydrolysisCarbohydrateProteinLipid

  • *DigestionPhasesIngestionMovementDigestionAbsorptionFurther digestion

  • *Digestive System Organization

    Gastrointestinal (Gl) tract (Alimentary canal)Tube within a tubeDirect link/path between organsStructuresMouthOral CavityPharynxEsophagusStomachDuedenum JejenumkIleumCecumAscending colonTransverse colon

  • *Digestive System OrganizationDescending colonSigmoid colonRectumAnusAccessory structuresNot in tube pathOrgansTeethTongueSalivary glandsLiverGall bladderPancreas

  • *Anatomy of the Mouth and Throat

  • *Human Deciduous and Permanent Teeth

  • *Dorsal Surface of the Tongue

  • *The Major Salivary Glands

  • *Deglutition (swallowing)SequenceVoluntary stagePush food to back of mouthPharyngeal stageRaiseSoft palateLarynx + hyoidTongue to soft palateEsophageal stageContract pharyngeal musclesOpen esophagusStart peristalsis

  • *Deglutition (swallowing)ControlNervesGlossopharyngealVagusAccessoryBrain stemDeglutition center Medulla oblongataPonsDisordersDysphagiaAphagia

  • *EsophagusUsually collapsed (closed)3 constrictionsAortic archLeft primary bronchusDiaphragm Surrounded bySNS plexusBlood vesselsFunctionsSecrete mucousTransport food

  • *Peristalsis and Segmentation

  • *EsophagusSphinctersUpperLowerAbnormalitiesAchalasiaAtresiaHerniaBarrets esophagusEsophageal varices

  • *StomachUsually J shapedLeft side, anterior to the spleenMucous membraneG cells make gastrinGoblet cells make mucousGastric pit Oxyntic gland Parietal cells Make HClChief cells Zymogenic cellsPepsinGastric lipase

  • *Anatomy of the Stomach

  • *Stomach3 muscle layersObliqueCircularLongitudinalRegionsCardiac sphincterFundusAntrum (pylorus)Pyloric sphincterVascularInner surface thrown into folds RugaeContains enzymes that work best at pH 1-2

  • *StomachFunctionsMix foodReservoirStart digestion ofProteinNucleic acidsFatsActivates some enzymesDestroy some bacteriaMakes intrinsic factor B 12 absorptionDestroys some bacteria

    AbsorbsAlcoholWaterLipophilic acidB 12

  • *Small IntestineExtends from pyloric sphincter ileocecal valveRegionsDuodenumJejenumIleumMovementsSegmentationPeristalsis

  • *Small IntestineHistologyIntestinal glands Intestinal enzymesDuodenal glands Alkaline mucousPaneth cells LysozymeMicrovilliLactealsPlica circularisSmooth muscleLymphatic tissue GALTVascular

  • *Small IntestineAbsorbs80% ingested waterElectrolytesVitaminsMineralsCarbonatesActive/facilitated transportMonosaccharidesProteinsDi-/tripeptidesAmino acidsLipidsMonoglyceridesFatty acidsMicellesChylomicrons

  • *Structure of the Villi in the Small Intestine

  • *Small IntestineSecretes digestive enzymesPeptidasesAmino-Di-Tri-SucrasesMaltaseLactaseSaccharidasesDi-Tri-LipaseNucleases

  • *Small IntestineControlRequires pancreatic enzymes & bile to complete digestion

  • *Large IntestineExtends from ileocecal valve to anusRegionsCecum AppendixColonAscendingTransverseDescendingRectumAnal canal

  • *Anatomy of the Large Intestine

  • *Large IntestineHistologyNo villiNo permanent circular foldsSmooth muscleTaeniae coliHaustraEpiploic appendagesOtherwise like rest of Gl tract

  • *Large IntestineFunctionsMechanical digestionHaustral churningPeristalsisReflexes GastroilealGastrocolicChemical digestion Bacterial digestionFerment carbohydratesProtein/amino acid breakdown AbsorbsMore waterVitamins

    Concentrate/eliminate wastes

  • *Feces Formation and DefecationChyme dehydrated to form fecesFeces compositionWaterInorganic saltsEpithelial cellsBacteriaByproducts of digestionDefecationPeristalsis pushes feces into rectumRectal walls stretchControlParasympatheticVoluntary

  • *LiverLocationR. HypochondriumEpigastric region4 LobesLeft QuadrateCaudateRightEach lobe has lobules Contains hepatocytes Surround sinusoids Feed into central vein

  • *LiverFunctionsMakes bileDetergent emulsifies fatsRelease promoted by:Vagus nSecretinContainsWaterBile saltsBile pigmentsElectrolytesCholesterolLecithin

  • *LiverDetoxifies/removesDrugsAlcoholStoresGycolgenVitamins (A, D, E, K)Fe and other mineralsCholesterolActivates vitamin DFetal RBC productionPhagocytosisMetabolizes absorbed food moleculesCarbohydratesProteinsLipids

  • *LiverDual blood supplyHepatic portal veinDirect input from small intestineHepatic artery/veinDirect links to heart

  • *The Duodenum and Related Organs

  • *The Organs and Positions in the Abdominal Cavity

  • *Structures of the Alimentary Canal

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