* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Circulatory System
Coronary artery disease wikipedia , lookup
Myocardial infarction wikipedia , lookup
Lutembacher's syndrome wikipedia , lookup
Antihypertensive drug wikipedia , lookup
Quantium Medical Cardiac Output wikipedia , lookup
Jatene procedure wikipedia , lookup
Dextro-Transposition of the great arteries wikipedia , lookup
Biology 20 Circulation Blood Lymphatic System Immunity The Importance of the Circulatory System 96 000 km of blood vessels 60 trillion cells in body no cell is more than 2 cells away from a blood vessel 2 3 Functions of the Circulatory System 3 main functions: 1) transports gasses, food, wastes, and hormones 2) carries molecules and cells that help defend against invading organisms 3) distributes heat throughout the body 4 Blood Vessels Arteries carry blood away from heart elastic stretch to accommodate blood surge from heart • pulse thick walls to allow for stretch high blood pressure 5 Blood Vessels Arterioles small arteries • arteries branch into many arterioles connects to capillary contains smooth muscle which can contract or relax according to nervous impulses sympathetic nerve impulses affect diameter of arterioles: • Vasodilatation -- open • Vasoconstriction -- constricts 6 Blood Vessels Capillaries links arterioles to venules site of exchange of nutrients and wastes between blood and interstitial fluid • I.F. is the fluid that surrounds and bathes body cells smallest blood vessels single layer of cells big enough for only 1 RBC to pass through at a time easily crushed = bruise 7 RBC in a capillary 8 Blood Vessels Venules small veins smooth muscle large end of capillaries 9 Blood Vessels Veins carry blood towards the heart larger diameter than arteries lower pressure than arteries • (2 mmHg compared to 100 mmHg in arteries) pull of gravity PROBLEM!! What forces the blood through a vein? blood pressure is not high enough to “suck” blood back to the heart 10 11 Blood Vessels Solution!! Veins have one-way valves • only allow blood to move in one direction skeletal muscles help veins in getting blood to the heart -- squeeze veins wall is not as thick as arteries because blood pressure is lower – no surge of blood flow 12 One Way Valves 13 Arteries, Veins, Capillaries 14 Arteries, Veins, Capillaries 15 Major Vessels of the Body Superior Vena Cava Inferior Vena Cava Artery from right ventricle to lungs Pulmonary Veins (4) Vein to heart from lower body Pulmonary Artery vein to heart from upper body Veins from lungs to left atrium Aorta Artery from left ventricle to body 16 Major Vessels 17 The Heart Structure roughly in center of chest in thoracic cavity protective membrane • pericardium forms a fluid filled sac to reduce friction size of fist two separate pumps • right and left sides are separated by a septum which prevents mixing of oxygenated and deoxygenated blood 18 19 20 21 22 The Heart Label the diagram of the heart. Identify the following structures (next slide) Outline the direction of flow of blood through the heart • Differentiate between oxygenated blood and deoxygenated blood by using red and blue arrows on diagram List the general function of each structure. 23 The Heart Right Atrium Superior Vena Cava Inferior Vena Cava Right AV Valve (Tricuspid) Right Ventricle Pulmonary Artery Pulmonary Valve Pulmonary Vein Left Atrium Left AV Valve (Bicuspid) Left Ventricle Aorta Aortic Valve Coronary Arteries Interventricular Septum Chordae Tendinae 24 25 26 27 The Heart’s Structures Atria Structure • thin walled chamber Function • right atria - collect deoxygenated blood from body and head, and pass to ventricles. • left atria - oxygenated blood from the lungs, and pass it to ventricles. 28 The Heart’s Structures Ventricles Structure • thick muscular walls • larger than atria • one side is thicker than the other Function • right ventricle pumps deoxygenated blood to lungs • left ventricle pumps oxygenated blood to body 29 The Heart’s Structures Interventricular septum Wall of muscle that separates the right atrium and ventricle from the left atrium and ventricle. 30 The Heart’s Structures Superior Vena Cava Inferior Vena Cava Vein to right ventricle of the heart from upper body Carries deoxygenated blood Vein to right ventricle of the heart from lower body Carries deoxygenated blood Aorta Artery through which the left ventricle pumps blood to the body Carries oxygenated blood 31 The Heart’s Structures Pulmonary Artery Pulmonary trunk – split into left and right arteries Artery from right ventricle carries deoxygenated blood to lungs Right pulmonary artery goes to right lung Left pulmonary artery goes to the left lung. Pulmonary Veins (4) Veins from lungs carry oxygenated blood to left atrium Right pulmonary vein from right lung Left pulmonary vein from left lung 32 The Heart’s Structures Atrioventricular valves (AV Valves) The right AV valve is called the tricuspid valve and the left AV valve is called the mitral valve Structure • flaps of tissue between atria and ventricles • attached to heart muscle by chords chordae tendinae cords prevent flaps from inverting Function • Separate atria from ventricles • prevents back flow of blood from ventricles into atria 33 The Heart’s Structures Pulmonary valve Aortic valve Allows deoxygenated blood from right ventricle into pulmonary artery, but does not allow it to flow back into the ventricle. Allows oxygenated blood to flow from the left ventricle to the aorta, but not to return back to the ventricle. Structure Thin flap, half-moon shaped 34 The Heart’s Structures 35 Three Circulatory Systems 1) Pulmonary Circulation From the heart to the lungs and back to the heart 2) Coronary Circulation From the heart chambers to the heart muscles and back to the heart chambers system of arteries, capillaries and veins within heart 3) Systemic Circulation From heart to all other parts of the body and back to the heart. 36 Systemic Circulation Involves 2 smaller systems Renal Circulation • To the kidneys Hepatic Circulation • From the digestive tract, through liver, then to heart Important vessels Carotid Arteries and Jugular Veins • head Brachial Artery and Brachial Vein • arms Femoral artery and Femoral Vein • legs 37 Biology 20 Heart Beat Heart Sounds Heart Rate Blood Pressure Initiating the Heart Beat Cardiac muscle contracts without external nervous stimulation Sino-Atrial Node (SA Node) Pacemaker Coordinates contractions Special muscle and nerves located in the right atrium 70 beats/minute 39 40 Initiating the Heart Beat The SA node sends nerve impulses: across atria • contract now!! To second node • AV node • Atrial-ventricular node 41 42 Initiating the Heart Beat AV node mass of nerve tissue in septum passes nerve impulse through septum to the bottom of ventricles Impulse conducted upwards through nerves in the ventricles Contraction of ventricles begins • Contraction begins at apex Bottom to top contraction Result… Atria contract followed by the ventricles. 43 44 Setting the Heart’s Rate Autonomic Nervous System in charge! Sympathetic nerves • stimulated during times of stress • Increases heart rate Parasympathetic nerves • stimulated during times of non-stress • returns heart to slow rate 45 Setting the Heart’s Rate Problem: SA node malfunction Ventricular fibrillation • disorganized and random contraction of heart cells • no longer pumps blood death Solution: • First -- Electro shock to halt the “short circuit” • Then -- installation of an artificial pacemaker 46 Electrocardiogram Electrodes are placed on the body surface Connected to a recording device Electrical impulses from heart are displayed on a screen. P wave • atrial contraction QRS wave • ventricular contraction Used to diagnose heart problems more evident during heavy exercise Doctors identify dead patches of heart muscle which will not conduct impulses. 47 48 Cardiac Cycle One heart beat Systole • ventricles contract Diastole • ventricles relax 70 - 75 beats/min two sides of heart beat in unison first the atria then the ventricles 49 50 Stages of the Cardiac Cycle 1) Heart relaxed -- atria filling Right Atrium • blood from Superior & Inferior Vena Cava Left Atrium • blood returning from lungs via 4 pulmonary veins 2) Atria Contract Ventricular diastole • Ventricles fill up blood pushed from atria into ventricles past the AV valves 51 52 Stages of the Cardiac Cycle 3) Ventricles Contract ventricular systole • AV valves close • Semilunar valves open Right ventricle • blood through pulmonary artery to lungs Left Ventricle • blood through aorta to rest of body 53 54 Heart Sounds “lubb dubb” Systole (lubb) longest and loudest ventricles contract caused by AV valves closing Diastole (dubb) caused by semilunar valves closing ventricles relaxing 55 56 Blood Pressure Measures amount of pressure in artery Two parts (120/80) Systolic pressure • high number (120) • pressure in artery when ventricles contract Diastolic pressure • low number (80) • pressure in artery when ventricles relax • Most important in diagnosis of heart health. Measured using a sphygmomanometer!! 57 Steps in finding Blood Pressure 1) Inflate cuff beyond normal pressure • this squeezes the artery closed 2) Leak, Look and Listen • release pressure slowly • listen to stethoscope for thump blood forcing its way through the cuff • read the number on the dial at that point • this is systolic pressure 3) Wait and Listen • When thumping stops, blood is moving unrestricted • this is diastolic pressure 58 Problems / Diseases Hypertension high blood pressure 140/90 can lead to heart attack, stroke, kidney damage Caused by: high blood volume • water, salt, constriction of blood vessels • tumor on adrenal medulla causing increased epinephrine 59 Problems / Diseases Hypotension low blood pressure often associated with bleeding • external or internal body compensates by • increasing cardiac output • increasing peripheral resistances arteriolar constriction 60 Regulation of Blood Pressure Negative Feedback Loop Monitor: Baroreceptors • in walls of aorta and carotid arteries • measures blood pressure Control Center: Medulla Oblongata • Blood pressure regulator in the brain stem 61 Regulation of Blood Pressure Regulators: Sympathetic Nerve Stimulation • arterioles constrict • cardiac output increases stroke volume & stroke rate • increases blood pressure Parasympathetic Nerve Stimulation • arterioles dilate • decreased cardiac output • decrease blood pressure 62 Regulation of Blood Pressure Example: M. Oblongata processes info from baroreceptors BLOOD PRESSURE TOO HIGH • decrease sympathetic nerve stimulation • increase parasympathetic nerve stimulation sends message to slow heart rate and dilate arterioles BLOOD PRESSURE TOO LOW • decrease parasympathetic nerve stimulation • increase sympathetic nerve stimulation increase heart rate constricts blood flow 63 Biology 20 Blood & Immunity Blood Functions 1.To carry partially digested food material from the small intestine and oxygen from lungs. 2. To transport the waste products of metabolism from the cells to the kidneys, lungs and skin for elimination from the body. 3. To carry hormones from the endocrine glands to the cells they control. 4. To control the amount of water and the level of acidity inside cells. 65 Blood Functions 5. to provide antibodies and white blood cells that protect against infection. 6. to provide substances that will clot blood if blood vessels are damaged. 7. to carry enzymes throughout the body. 8. to distribute heat produced during cell metabolism. 66 Blood Composition blood is a liquid tissue composed of cells, cell fragments and a watery medium called plasma. an adult male has 5-6 L of blood and an adult female has 4-5 L of blood. 67 Plasma 55% of blood volume straw coloured liquid consisting of: • • • • 90% water 7% proteins (albumin, globulin, fibrinogen) 1% ions (Na+, K+, Cl-, Ca2+) 2% other substances (glucose, fats, amino acids, gases, urea, hormones, etc.) if blood is allowed to clot outside the body and the clotted portion is removed, the fluid portion left is called serum. Serum, therefore, consists of plasma from which the clotting proteins have been removed. 68 Erythrocytes major function is to transport oxygen average male has - 5.2 million RBC's/mL blood average female - 4.7 million RBC's/mL of blood • low, due to menstruation bioconcave discs containing hemoglobin • iron containing protein pigments used in O2 and CO2 transportation. amongst the most highly specialized of all cells: • at maturity the nucleus and mitochondria disappear and other cell structures dissolve • provides room for 300 million hemoglobin molecules/RBC. life span of a RBC is approximately 120-130 days. 69 Erythrocytes old RBC have fragile cell membranes and are often ruptured when passing through the spleen. the hemoglobin released from RBC's is removed from blood mainly by the liver iron released into blood, other component called bilirubin is secreted in bile • reason why feces is brown 70 Anemia a deficiency of RBC's caused by either too rapid a loss or too slow production. may be caused by blood loss, insufficient vitamin B12 or iron in diet, damage to bone marrow etc. any condition that causes decreased oxygen being transported to the tissue will increase the rate of RBC's production • e.g. blood loss, high altitude 71 Leucocytes combat infectious and toxic agents average adult has 7000 WBC's/mm3 of blood there are 5 kinds of leucocytes: 1) neutrophils 2) eosinophils 3) basophils 4) monocytes 5) lymphocytes leucocytes function in 2 ways: 1) by destroying mutating agents by the process of phagocytosis (#1,2,3,4) 2) by forming antibodies (#5) 72 Leucocytes lymphocytes are produced in the lymph glands (lymphnodes) • spleen • thymus • tonsils Lymph nodes are spongy tissue with 2 functions: 1) remove foreign particles from lymph fluid before it returns to general circulation 2) produce lymphocytes (10 billion/day) 73 Blood Formation most blood cells are formed in soft centre portion of marrow of long bones - sternum, ribs, vertebrae special stem cells in marrow are parent cells of both red and white cells • early in development RBC's lose their nuclei and mito. • hemoglobin protein is added as they reach maturity (2 000 000 per second) RBC's increase in number during periods of strenuous exercise, emotional stress, at high altitudes or high temp’s. WBC are produced in lymphoid tissue of the body as well and are produced in great quantities in times of infection and disease fighting platelets are also produced in marrow from tiny pieces of cytoplasm that break off from the stem cells 74 Blood Groups How Many? Four blood types: A, B, AB, O Determined by a marker on the cells Antigen • Stimulates formation of antibodies • Antigen A = blood type A Antibody in plasma must be opposite 76 Antibodies Wrong bloodtype? Produced in response to an invader Attach to antigens --- clumping Blood will clump (clot) blockages Agglutination - refers to the clumping of blood cells caused by antigens (protein markers on cells) and antibodies (proteins produced by B-lymphocytes in response to a foreign antigen). 77 78 Blood Types OK OK OK OK Bad OK Bad OK Bad Bad OK OK Bad Bad Bad OK 79 AB Both antigens Universal acceptor Only donate to AB O Universal donor No antigens on surface Will not bind to antibodies Only accept O 80 Rh Rh-factor The Rhesus factor is another type of blood group. People either have the antigen (Rh+) or do not have it (Rh-). Erythroblastosis fetalis Another antigen on RBC’s 82 Rhesus Factor If If present – Rh+ ~ 85% of people absent – Rh~15% of people No natural antibodies for Rh Can be produced 83 Rh and pregnancy Rh mother, Rh+ father Baby can be Rh+ First child – no problem No mixing During birth, blood will mix Mother’s immune system creates Rh+ antibodies No harm to baby 84 Second child If child is Rh+ = problem Mother has Rh+ antibodies If they enter baby, blood will clump Reduced O2 delivery “blue baby” Solution – transfuse baby w/ Rh- blood 85 86 What is the most common blood type? 0 Rh-positive 38 percent 0 Rh-negative 7 percent A Rh-positive 34 percent A Rh-negative 6 percent B Rh-positive 9 percent B Rh-negative 2 percent AB Rh-positive 3 percent AB Rh-negative 1 percent 87 Sickle Cell Anemia 88 Blood Clotting Platelets Small Fragile Contain specialized proteins Initiate clotting Join with calcium in plasma First step in clotting 90 Blood Clotting Clotting involves up to fifteen different substances, but can be summarized into three stages. Release of thromboplastin from the platelets or cells surrounding the injury The conversion of prothrombin into an enzyme called thrombin. Thromboplastin, calcium ions, and several other substances activate this stage. The conversion of fibrinogen into threads of fibrin. Fibrin threads trap blood cells and forms a clot. 91 + Ca 2+ 92 Blood Clotting After clot forms, fibrin threads contract. This further closes the blood vessel. After the vessel has been repaired, the enzyme plasmin dissolves the fibrin clot. Clotting in an unbroken vessel is called thrombosis, and is the most frequent cause of heart attack and stroke. 93 Needs Calcium 94 95 Fibrin Threads 96 DISEASES OF THE BLOOD 1. ANEMIA • deficiency of red blood corpuscles by either too rapid a loss or too slow a production Symptoms: • lack of energy • catch other illnesses easily • sickle cell anemia 97 DISEASES OF THE BLOOD 2. LEUKEMIA • cancerous organs disease of blood-forming • increase in immature white blood cells • decrease in red blood cells and platelets • decreases immunity and O2 capacity 98 DISEASES OF THE BLOOD 3. MONONUCLEOSIS • “kissing disease” • Viral disease • increase in white blood cells production monocytes 4. HEMOPHILIA • Body is missing Clotting Factor IV • Prevents normal clotting of blood 99 Lymphatic System Lymphatic System lymph the fluid found in lymph vessels that contains some proteins that have leaked through capillary walls A system to return extracellular fluid to circulatory system Much like the circulatory system Leakage from capillaries Intertwined Lymph vessels lymph capillaries are endings which are permeable to all interstitial fluid Fluid moves through lymph vessels by skeletal muscle contractions No backflow due to one way system of valves 101 102 Some fluid seeps through cap wall & is called lymph This fluid is returned to the blood via the lymphatic system 103 Lymph nodes mostly in head, neck, armpit, abdomen, and groin Before lymph is returned to the blood it passes through lymph nodes Nodes contain white blood cells They filter lymph for invaders Will destroy foreign particles Lymph is returned to the circulatory system through ducts 104 105 Structure of the Lymphatic System Ducts • the vessels converge into the great thoracic duct (GTD) or right lymphatic duct (RLD) • the GTD collects lymph from legs, left arm and left side of head empties into venuous system at the junction of the left jugular and subclavian veins • the RLD drains right arm, right side of head and trunk 106 Lymphati c System 107 Functions of the Lymphatic System a. Return of Excess filtered fluid • fluid filtered minus fluid absorbed = too much left over at cell site. • Extra fluid returned to blood to prevent edema (collection of fluid in the interstitial tissues) b. Return of protein to the blood • capillaries slightly permeable to protein • leaked protein must be returned to blood by lymphatic • purpose to maintain the protein concentration difference between the plasma and the interstitial fluid to prevent large movement of fluid out of blood 108 Functions of the Lymphatic System c. Specific transport functions i.e. transports fat from the G.I. tract other possibilities • high molecular weight hormones reach the circulatory system via the lymphatic system 109 Lymphoid Organs Spleen a lymphoid organ that acts as a reservoir for blood and a filtering site for lymph thymus gland a lymphoid organ in which T lymphocytes mature 110 Immune Response Immunity The immune system is designed to respond to foreign cells, particles or virus that are not supposed to be present within the body. Of crucial importance is the body’s ability to correctly distinguish “self” from “nonself”. 112 The Immune Response WBC are involved in the Immune Response the bodies first line of defence is the skin and mucus membranes that prevent foreign substances from entering the second line of defence is the "inflammatory response" • histamines from injured cells triggers increased permeability of capillaries in area, thus more WBC can enter area • the area becomes walled off and phagocytes invade the area and rid the tissue of infectious or toxic agents • results in inflammation when phagocytic leucocytes engulf a large amount of bacteria and damaged tissue, they die, resulting in pus formation (an accumulation of damaged/dead tissue, and dead leucocytes). 113 Sick. Immune Response The third line of defence is antibody formation (immune response) • Highly specific (like enzyme-substrate specifically) • Lymphocytes produce globular proteins known as antibodies in response to an antigen (foreign protein, virus or bacteria) Antibodies protect the body against invading agents by: 1) coat antigen so that phagocytic WBC's can ingest it (yummy) 2) combine with it to inactivate it 3) work with another blood component called a "complement" to lyse and destroy the infected cells 115 Immune Response after the first bout of infection the circulatory antibodies disappear, but memory cells are now "sensitized" and if particle returns they trigger quick antibody production other cells involved: • T-lymphocytes (T-cells) mainly responsible for tissue transplant rejection • B-lymphocytes (B-cells) produce antibodies that circulate in blood and lymph • "T-helper cells” secrete substances which activate B-cells to produce antibodies 116 Macrophage Macrophage Surrounds and destroys damaged cells, proteins, and pathogens 118 Helper T Cells Helper T Cells Helps identify invaders 119 B Cell B Cell Makes and releases antibodies and memory cells 120 Memory Cell Memory Cell Stores information about invaders 121 Antibody Antibody Attaches to and destroys invaders 122 Pathogen Can be bacteria, protist, fungi, or virus “invaders” or any thing foreign Antigens Specific shape Attaches to pathogens 123 Pathogen enters body (wound, infection, etc) 124 Macrophage surrounds and destroys the pathogen 125 Antigens from dead bacteria protrude from macrophage Helper T Cells identifies the antigen on the macrophage 126 Helper T Cells relays information to B Cells B Cells make and release antibodies accordingly 127 Antibodies attach to antigens 128 Antibodies destroy antigens B Cell make Memory Cells that store information on invaders, making it easier to destroy next time 129 Video Time! http://www.learnalberta.ca/content/seb20/h tml/immuneSystem/index.html 130