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Human Anatomy and Physiology Digestion and absorption of nutrients Digestion of carbohydrates Hydrolysis Tri- and disaccharides Monosaccharides monosaccharides Disaccharide Digestion of carbohydrates Sources Sucrose (sugar), lactose (milk), starches (non-animal products) Fiber not digested by humans Areas of breakdown Mouth (salivary amylase) Duodenum (pancreatic amylase) Intestine (enterocytes - lactase, sucrase, maltase, a-dextranase) Digestion of carbohydrates Digestion of proteins Proteins peptides Stomach Small intestine amino acids Small intestine Digestion of proteins Sources Dietary (plants and animals) Endogenous (enzymes, hormones, dead cells) Areas of breakdown Stomach (pepsin) Duodenum (pancreatic secretions) Intestine (enterocytes - peptidases) Digestion of proteins Stomach Small intestine Digestion of fats Triglycerides (neutral fats) In blood: Triglycerides fatty acids and 2 monoglycerides fatty acids and glycerol Digestion of fats Sources Area of breakdown -emulsion Dietary - animal and plants Mechanical disruption by stomach Small intestine (bile emulsifies triglycerides, lipase converts them into fatty acid and monoglyceride) Lecithin prevents reaggregation Digestion of triglycerides by pancreatic lipase Digestion of fats Small intestine Blood Enterohepatic circulation Bile pathway Liver, common hepatic duct, gall bladder (storage) Common bile duct, duodenum, sphincter of Oddi Absorption (95%), hepatic portal vein, liver Common Hepatic Duct Fluid absorption ~ 8.2 liters of fluid into the tract (98.5% is absorbed) Input Absorbed Intake 1.5L, salivary gland 1.0L, stomach 1.5L, liver 1.0L, pancreas 1.0L, small intestine 2.0L, colon 0.2L Small intestine 7.2L, colon 0.85L Output Feces 0.15L Absorption Monosaccharides co-transported with sodium by protein transporters Amino acids similar mechanism Absorption of lipids Fatty acids and monoglycerides diffuse into cell Converted to triglyceride Enter ER and Golgi - chylomicron Exocytosis into lacteal Eventually empty into neck veins Absorption in the colon Proximal Distal Sodium is actively absorbed Secretion of bicarbonate (neutralizes acid from bacterial action) Absorption of chloride Resultant gradient allows passive water absorption leading to dry feces Absorption in the colon Disorders of the colon Constipation Decreased colon motility Colon distention with fiber Laxatives: decrease water absorption Diarrhea Increased colon motility, irritants Decrease in water absorption, or water secretion into the tract Lactose intolerance Small intestine lactose glucose + galactose lactase lactose lactase lactose osmotic gradient water absorption water uptake distension, cramps, diarrhea