Sinh Ly Tieu Hoa

Question 1

Don vi chuc nang cua gan

Answer 1

Tieu thuy gan:
- hinh tru: giua la tn trù tam tieu thuy, xung quanh la be te bao gan (2 lop te bao)- tieu quan mat nam giua
Tb gan nam giua :tieu quan mat va mau tròng mao mach dang xoang
- giua cac tb gan: tm cua, dm gan, ong mat, bach huyet! T
- tm trung tam tieu thuy- tm gan - tm chu duoi
Mm dang xoang: tb noi mo- kuffer- khoang Disse- thog thuong voi mach bach huyet!

Question 2

Chuc nang he thong tuan hoan gan

Answer 2

Du tru mau
He dem
Loc mau

Question 3

Du tru mau/gan

Answer 3

• tm cua 1l mau + dm gan 400 ml: 29% CO
• he mach cua gan ( tm, mm, dm) chua: 650 ml! Tang ap luc nhi P, anh huong nguoc lai gan, mau co chua trong tm va mm kieu xoang len den 1l

Question 4

Chuc nang dem|gan

Answer 4

Mao mach kieu xoang co tinh tham rat manh
Dd tu he tieu hoa- nhanh xhog vao khoang ke cua gan- khong tang qua cao trong tuan hoan sau bua an- gan chuyen hoa va phong thoch vao mau voi nong do nhat dinh

Question 5

Chuc nang loc| gan

Answer 5

Tb kuffer : loc vk tu tm cua ( mau cua duong tieu hoa)–) rat it vk qua khoi hang rao nay

Question 6

Hau qua cua ap suat cao trong tm gan

Answer 6

Tm gan-chu: 0
Tm cua: 8 mmHg
–) suc can voi luu luong mau tu tm cua la khog dang ke
Tb gan xo–) mm bi hep–) tro ngai dong mau u tm cua vao gan!
Ap luc tm gan tang–) tang luu luong bach huyey–) tham qua bao gan: co truong

Question 7

Bai tiet mat/gan

Answer 7

Moi tb gan deu bai tiet mat–) ong nho den lon–) omc–) ta trang va tui mat - co that òddi

Question 8

Du tru mat trong tui mat

Answer 8

Luong mat tiet mot ngay: 700-1100ml
Tui mat: 40-70ml
Tui may du tru mat trog 12h do kha nang co dac mat( hap thu chu dong nuoc, nacl₫
Y

Question 9

Co che tiet mat sau an

Answer 9

Tui mat co bop:
-cholecystokiniin
- day x
Gian truong luc co oddi:
- px mat-ruot
- nhu dong ruot non

Question 10

Thanh phan mat

Answer 10

Muoi mat(50%)
Bili
Lẽci
Choles
Muoi khoang

Chole 1-2 g/d! Ko tan trong nuoc, tan tròn micelle

Question 11

Tao acid may nguyennphat- thu phat

Answer 11

Acid mat nguyen phat ( a cholic, chenodeoxycholic)–) gan glycin va taurin tao muoi mat
Trog ta trang: tao acid mat thu phat ( a deoxycholic, a lithocholic)

Question 12

Chuc nang muoi mat

Answer 12

• nhu tuong hoa: tang dien tich tx men lipase va mo
• hoa tan mo/nuoc
  Ruot: tai nong do nhat dinh–) tao hat micelle( ua nuoc quay ra ngoai). San p thoai hoa cua mo nhanh chong nhap vao hat micelle!
  Micel tan trong nuoc- bo bam chai tb ruot- hap thu mo qua bieu mo vak hach bach huyet

Question 13

Khong muoi mat, hau qua

Answer 13

40% luon lipid khong dũo hap thu

Nhing hao thu cac chat tan trong mo, db la vitamin a d e k! Vit k : tong hop yeu to dong mau

Question 14

Chuyen hoa mat

Answer 14

Mat :
- tai hap thu 90-95% hoi trang, tm cua, tro lai gan–) bai tiet lai! L
Muoi mat tai hap thu cang nhieu, thi bai tiet cang nhieu
- phan con lai ra duog tieu tieu hao

Question 15

Bai tiet bilirubim

Answer 15

hC:
-globin
- hem --) biliverdin --) bili gT (tu do) - tan tròng mo-gan pro 
--) chuyen hoa o gan:
80% a glucuronix
10% sulfat
10% othwr
--) bil tt: tan trong nuoc: vk chuyen hoa thanh urobilinogen
- tai hap thu
- uro: nũo tieu, sterco: phan

Question 16

Chuyen hoa cacbonhydrate o gan

Answer 16

Du tru glycoge
Ch hoa frux/galac thanh gluc
Tao duong moi
Thanh lap nhieu phuc hop hoa hoc tu sp trung gian chuyen hoa cacbomhydrate

Question 17

Chuyen hoa lipid/gan

Answer 17

Beta - oxy hoa acid beo: tao nang luong
Tong hop phos, choles, lipo
Tong hop mo tu pro va cac

Question 18

Chuyenhoa protein/gan

Answer 18

Khu amin ra ketoacid–) tao nl
Tao ure tu nh3 de loai ra khoi co the
Tong hop protein (- gamma glo)
Chuyen hoa qua lai cac aa va cac phuc hop khac tu aa( tong hop aa ko thirt yeu va enzyke huyet tuong)

Question 19

Du tru vitamin va muoi khoan /gan

Answer 19

A)d)b12
A 1ms
D: 3-4m
B12 12 ms
Fe: apoferritin

Question 20

Dog mau/gan

Answer 20

Dong mau ngoai sinh tru 8

Vit K: 2 7 9 10

Question 21

Chuc nang cua gan

Answer 21

Chua va loc mau
Bai tiet mat
Chuyen hoa