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الكلية كلية التمريض
القسم قسم العلوم الطبية الاساسية
المرحلة 1
أستاذ المادة اسراء حرجان محسن خشان
30/11/2018 20:52:35
Anatomy Dr.Israa H. Mohsen Lec10 Digestive System Digestive System Function • Acquires nutrients from environment • Anabolism Uses raw materials to synthesize essential compounds • Catabolism Decomposes substances to provide energy cells need to function Digestive (GI) Tract Histological Structure of the Digestive (GI) Tract Functions of Oral Cavity • Sensory analysis Of material before swallowing • Mechanical processing Through actions of teeth, tongue, and palatal surfaces • Lubrication Mixing with mucus and salivary gland secretions • Limited digestion Of carbohydrates and lipids Esophagus • A hollow muscular tube • About 25 cm (10 in.) long and 2 cm (0.80 in.) wide • Conveys solid food and liquids to the stomach • Begins posterior to cricoid cartilage • Is innervated by fibers from the esophageal plexus Stomach Function • Major Functions of the Stomach Storage of ingested food Mechanical breakdown of ingested food Disruption of chemical bonds in food material by acid and enzymes Production of intrinsic factor, a glycoprotein required for absorption of vitamin B12 in small intestine Gastric Anatomy Digestion in the Stomach • Stomach performs preliminary digestion of proteins by pepsin Some digestion of carbohydrates (by salivary amylase) Lipids (by lingual lipase) • Stomach contents Become more fluid pH approaches 2.0 Pepsin activity increases Protein disassembly begins • Although digestion occurs in the stomach, nutrients are not absorbed there Small Intestine • 90% of absorption occurs in the small intestine Small Intestine • The Duodenum The segment of small intestine closest to stomach 25 cm (10 in.) long “Mixing bowl” that receives chyme from stomach and digestive secretions from pancreas and liver Functions of the duodenum To receive chyme from stomach To neutralize acids before they can damage the absorptive surfaces of the small intestine Small Intestine • The Jejunum Is the middle segment of small intestine 2.5 meters (8.2 ft) long Is the location of most Chemical digestion Nutrient absorption Has few plicae circulares Small villi Small Intestine • The Ileum The final segment of small intestine 3.5 meters (11.48 ft) long Ends at the ileocecal valve, a sphincter that controls flow of material from the ileum into the large intestine Small Intestine Small Intestine • Intestinal Secretions Watery intestinal juice 1.8 liters per day enter intestinal lumen Moisten chyme Assist in buffering acids Keep digestive enzymes and products of digestion in solution • Intestinal Movements Chyme arrives in duodenum Weak peristaltic contractions move it slowly toward jejunum • Myenteric reflexes • Not under CNS control • Parasympathetic stimulation accelerates local peristalsis and segmentation Pancreas • Lies posterior to stomach From duodenum toward spleen • Is bound to posterior wall of abdominal cavity • Is wrapped in thin, connective tissue capsule Functions of the Pancreas 1. Endocrine cells of the pancreatic islets: Secrete insulin and glucagon into bloodstream 2. Exocrine cells: Acinar cells and epithelial cells of duct system secrete pancreatic juice Pancreas Liver Liver • Hepatocytes Are liver cells Adjust circulating levels of nutrients Through selective absorption and secretion In a liver lobule form a series of irregular plates arranged like wheel spokes Many Kupffer cells (stellate reticuloendothelial cells) are located in sinusoidal lining As blood flows through sinusoids Hepatocytes absorb solutes from plasma And secrete materials such as plasma proteins Gallbladder • Is a pear-shaped, muscular sac • Stores and concentrates bile prior to excretion into small intestine • Is located in the fossa on the posterior surface of the liver’s right lobe • The Cystic Duct Extends from gallbladder Union with common hepatic duct forms common bile duct Large Intestine • Is horseshoe shaped • Extends from end of ileum to anus • Lies inferior to stomach and liver • Frames the small intestine • Also called large bowel • Is about 1.5 meters (4.9 ft) long and 7.5 cm (3 in.) wide Parts of Large Intestine • The Cecum Is an expanded pouch Receives material arriving from the ileum Stores materials and begins compaction • Appendix Also called vermiform appendix Is a slender, hollow appendage about 9 cm (3.6 in.) long Is dominated by lymphoid nodules (a lymphoid organ) Parts of Large Intestine • The Colon Has a larger diameter and thinner wall than small intestine The wall of the colon Forms a series of pouches (haustra) Haustra permit expansion and elongation of colon Parts of Colon • Ascending Colon Begins at superior border of cecum Ascends along right lateral and posterior wall of peritoneal cavity to inferior surface of the liver and bends at right colic flexure (hepatic flexure) • Transverse Colon Crosses abdomen from right to left; turns at left colic flexure (splenic flexure) Is supported by transverse mesocolon Is separated from anterior abdominal wall by greater omentum Parts of Colon • The Descending Colon Proceeds inferiorly along left side to the iliac fossa (inner surface of left ilium) Is retroperitoneal, firmly attached to abdominal wall • The Sigmoid Colon Is an S-shaped segment, about 15 cm (6 in.) long Starts at sigmoid flexure Lies posterior to urinary bladder Is suspended from sigmoid mesocolon Empties into rectum Parts of Colon Parts of Large Intestine • The Rectum Forms last 15 cm (6 in.) of digestive tract Is an expandable organ for temporary storage of feces Movement of fecal material into rectum triggers urge to defecate • The anal canal is the last portion of the rectum Contains small longitudinal folds called anal columns • Anus Also called anal orifice Is exit of the anal canal Has keratinized epidermis like skin
المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .
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