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Keywords: digestion, a gastrointestinal path, physiopathology, nutrition, a stomach, an intestine, enzymes, a secretion, a gastritis, an adsorption of nutrition in a gastrointestinal tract

Physiopathology of digestion

Key concepts

  1. the Anorexia (anorexia; an + orexis - the desire is, appetite) - absence of appetite at presence of physiological requirement for the feeding, caused by infringements of activity of alimentary center.
  2. the Bulimia (bulimia; bus the bull + limos famine;) - pathological, sharply enlarged sense of famine.
  3. the Polyphagia (polyphagia; poli-+ phagein - to eat, eat) - cherezmernoe consumption of nutrition.
  4. the Heartburn (pyrosis) - sensation of a burning sensation behind a breast bone or in the epigastri? range, caused zabrasyvaniem stomachal contents in an esophagus.
  5. the Vomiting (vomitus, emesis) - consensual ejection of contents of a digestive tube through a mouth.
  6. Ahilija stomachal (achylia gastrica; and + chylos - juice; an apepsia) - a morbid condition at which the mucosa of a stomach does not excrete a free hydrochloric acid and enzymes.
  7. Diarrhea (diarrhoea) - uchashchennaja a defecation at which the feces has a fluid consistence.
  8. the Constipation (constipatio, obstipatio) - time-lapse, labored or regularly insufficient oporozhnenie an intestine.

Educational elements

I. A general etiology of distresses of an alimentary system

  • a role of nutrition and a feeding
  • pathogenic influence of smoking and abuse by alcohol
  • value of humoral and neurogenic factors

II. Concept about failure of digestion

  • infringement of processes of a secretion, a motility, an adsorption, an egestion, rezervuarnoj functions of a gastrointestinal path

III. Mechanisms of digestive disturbances

  • the general mechanisms: corticovisceral, nervous - reflex, neurotrophical, humoral
  • aboriginal (organolokalnye) mechanisms

IV. Kinds of digestive disturbances. Mechanisms of development, exhibiting

  • distresses of appetite
  • giporeksija, an anorexia, parareksija, a bulimia, a polyphagia, a polydipsia, distresses of gustatory sensations, mechanisms of development
  • infringements of digestion in an oral cavity
  • distress of a mastication
  • infringement of a salivation (a hyper-, a hypoptyalism)
  • infringement of a swallowing
  • infringement of functions of an esophagus
  • distresses of functions of a stomach, an intestine, a pancreas

V. Digestive disturbances in a stomach. Mechanisms of development, exhibiting

  • infringement rezervuarnoj functions of a stomach
  • infringement of secretory function of a stomach
  • infringement of a complex-reflex phase of a stomachal secretion (the atropinic test)
  • infringement of a humoral phase of a stomachal secretion (the histaminic test)
  • a dysfunction of APUD-SYSTEM (infringement of endocrine function of a stomach)
  • a role digestivnyh Hormonums (Gastrinum, a secretin, an enteroanthelone, motilin, a somatostatin, vasoactive intestinalnyj a polypeptide, a pancreatic polypeptide)
  • a hyper-, a hyposecretion, a spontaneous secretion
  • a hyper-, hypo-, an anacid state
  • enzymatic failure of a stomach
  • ahilija a stomach
  • phylums of a pathological stomachal secretion (asthenic, erethitic, brake, inert)
  • connection of secretory and motor infringements
  • infringement of motor function of a stomach (a hyper-, gipokineticheskie states)
  • infringement vsasyvatelnoj functions of a stomach (a hyper-, a hypoactivity)
  • infringements of evacuation of stomachal contents: an eructation, a heartburn, a nausea, a vomiting
  • infringement of secretory function of a stomach

VI. Acute and chronic gastritises. An etiology and a pathogeny.

  • a peptic ulcer and symptomatic stomach ulcers and 12-перстной intestines
  • an etiology, a pathogeny, principles of treatment
  • helikobakterioz, his value in development of gastritises and a peptic ulcer

VII. Digestive disturbances in an intestine. Mechanisms of development

  • distresses of functions of a thin and thick intestine
  • infringement of secretory function of an intestine
  • infringement of a complex-reflex phase of an intestinal secretion
  • infringement of a humoral phase of an intestinal secretion
  • a dysfunction of APUD-SYSTEM, a role digestivnyh Hormonums (Gastrinum, a somatostatin, vasoactive intestinalnyj a polypeptide, a cholecystokinin - pancreozymin, motilin)
  • a dyspepsia: fermentative, putrefactive, steatareja
  • a digestive disturbance at pancreatic ahilii, acholias
  • infringement of motor function of an intestine (a hyper-, a hypoactivity) - diarrheas, constipations
  • an intestinal obstruction (mechanical, dynamic, gemostaticheskaja)
  • infringements cavitary and pristenochnogo digestion
  • infringement of an adsorption in an intestine
  • infringement of barrier function of an intestine: an intestinal endointoxication, kolisepsis, dysbacterioses

VIII. Enteritises, colitises, symptomatic ulcers. An etiology, a pathogeny

  • a sprue, a Gee's disease, an etiology, a pathogeny

IX. Infringement of secretory function of a pancreas; an acute and chronic pancreatitis. Mechanisms of development

X. Consequences of erasion of various departments of a gastrointestinal path: physiopathology of the operated stomach

  • a dumping syndrome, mechanisms of development

XI. Functional linkages of various departments of an alimentary system in pathological conditions

  • connection of infringements of digestion and a metabolism

XII. Kompensatorno-regenerative processes in system of digestion

XIII. Features of infringements of digestion at children


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Keywords: digestion, a gastrointestinal path, physiopathology, nutrition, a stomach, an intestine, enzymes, a secretion, a gastritis, an adsorption of nutrition in a gastrointestinal tract
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