完整word版药学英语第五版原文翻译.docx
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完整word版药学英语第五版原文翻译
IntroductiontoPhysiology
Introduction
Physiologyisthestudyofthefunctionsoflivingmatter。
Itisconcernedwithhowanorganismperformsitsvariedactivities:
howitfeeds,howitmoves,howitadaptstochangingcircumstances,howitspawnsnewgenerations.Thesubjectisvastandembracesthewholeoflife.Thesuccessofphysiologyinexplaininghoworganismsperformtheirdailytasksisbasedonthenotionthattheyareintricateandexquisitemachineswhoseoperationisgovernedbythelawsofphysicsandchemistry.
Althoughsomeprocessesaresimilaracrossthewholespectrumofbiology—thereplicationofthegeneticcodefororexample-manyarespecifictoparticulargroupsoforganisms.Forthisreasonitisnecessarytodividethesubjectintovariouspartssuchasbacterialphysiology,plantphysiology,andanimalphysiology.
Tostudyhowananimalworksitisfirstnecessarytoknowhowitisbuilt.Afullappreciationofthephysiologyofanorganismmustthereforebebasedonasoundknowledgeofitsanatomy。
Experimentscanthenbecarriedouttoestablishhowparticularpartsperformtheirfunctions.Althoughtherehavebeenmanyimportantphysiologicalinvestigationsonhumanvolunteers,theneedforprecisecontrolovertheexperimentalconditionshasmeantthatmuchofourpresentphysiologicalknowledgehasbeenderivedfromstudiesonotheranimalssuchasfrogs,rabbits,cats,anddogs.Whenitisclearthataspecificphysiologicalprocesshasacommonbasisinawidevarietyofanimalspecies,itisreasonabletoassumethatthesameprincipleswillapplytohumans.Theknowledgegainedfromthisapproachhasgivenusagreatinsightintohumanphysiologyandendoweduswithasolidfoundationfortheeffectivetreatmentofmanydiseases.
Thebuildingblocksofthebodyarethecells,whicharegroupedtogethertoformtissues.Theprincipaltypesoftissueareepithelial,connective,nervous,andmuscular,eachwithitsowncharacteristics.Manyconnectivetissueshaverelativelyfewcellsbuthaveanextensiveextracellularmatrix。
Incontrast,smoothmuscleconsistsofdenselypackedlayersofmusclecellslinkedtogetherviaspecificcelljunctions.Organssuchasthebrain,theheart,thelungs,theintestines,andtheliverareformedbytheaggregationofdifferentkindsoftissues.Theorgansarethemselvespartsofdistinctphysiologicalsystems.Theheartandbloodvesselsformthecardiovascularsystem;thelungs,trachea,andbronchitogetherwiththechestwallanddiaphragmformtherespiratorysystem;theskeletonandskeletalmusclesformthemusculoskeletalsystem;thebrain,spinalcord,autonomicnervesandganglia,andperipheralsomaticnervesformthenervoussystem,andsoon.
Cellsdifferwidelyinformandfunctionbuttheyallhavecertaincommoncharacteristics。
Firstly,theyareboundedbyalimitingmembrane,theplasmamembrane.Secondly,theyhavetheabilitytobreakdownlargemoleculestosmalleronestoliberateenergyfortheiractivities.Thirdly,atsomepointintheirlifehistory,theypossessanucleuswhichcontainsgeneticinformationintheformofdeoxyribonucleicacid(DNA).
Livingcellscontinuallytransformmaterials.Theybreakdownglucoseandfatstoprovideenergyforotheractivitiessuchasmotilityandthesynthesisofproteinsforgrowthandrepair.Thesechemicalchangesarecollectivelycalledmetabolism.Thebreakdownoflargemoleculestosmalleronesiscalledcatabolismandthesynthesisoflargemoleculesfromsmalleronesanabolism。
Inthecourseofevolution,cellsbegantodifferentiatetoservedifferentfunctions.Somedevelopedtheabilitytocontract(musclecells),otherstoconductelectricalsignals(nervecells)。
Afurthergroupdevelopedtheabilitytosecretedifferentsubstancessuchashormonesorenzymes.Duringembryologicaldevelopment,thisprocessofdifferentiationisre—enactedasmanydifferenttypesofcellareformedfromthefertilizedegg。
Mosttissuescontainamixtureofcelltypes.Forexample,bloodconsistsofredcells,whitecells,andplatelets。
Redcellstransportoxygenaroundthebody。
Thewhitecellsplayanimportantroleindefenseagainstinfectionandtheplateletsarevitalcomponentsintheprocessofbloodclotting.Thereareanumberofdifferenttypesofconnectivetissuebutallarecharacterizedbyhavingcellsdistributedwithinanextensivenoncellularmatrix.Nervetissuecontainsnervecellsandglialcells。
ThePrincipalOrganSystems
Thecardiovascularsystem
Thecellsoflargemulticellularanimalscannotderivetheoxygenandnutrientstheyneeddirectlyfromtheexternalenvironment。
Theoxygenandnutrientsmustbetransportedtothecells.Thisisoneoftheprincipalfunctionsoftheblood,whichcirculateswithinbloodvesselsbyvirtueofthepumpingactionoftheheart。
Theheart,bloodvessels,andassociatedtissuesformthecardiovascularsystem。
Theheartconsistsoffourchambers,twoatriaandtwoventricles,whichformapairofpumpsarrangedsidebyside.Therightventriclepumpsdeoxygenatedbloodtothelungswhereitabsorbsoxygenfromtheair,whiletheleftventriclepumpsoxygenatedbloodreturningfromthelungstotherestofbodytosupplythetissues。
Physiologistsareconcernedwithestablishingthefactorsresponsiblefortheheartbeat,howtheheartpumpsthebloodaroundthecirculation,andhowitisdistributedtoperfusethetissuesaccordingtotheirneeds。
Fluidexchangedbetweenthebloodplasmaandthetissuespassesintothelymphaticsystem,whicheventuallydrainsbackintotheblood.
Therespiratorysystem
Theenergyrequiredforperformingthevariousactivitiesofthebodyisultimatelyderivedfromrespiration。
Thisprocessinvolvestheoxidationoffoodstuffstoreleasetheenergytheycontain。
Theoxygenneededforthisprocessisabsorbedfromtheairinthelungsandcarriedtothetissuesbytheblood。
Thecarbondioxideproducedbytherespiratoryactivityofthetissuesiscarriedtothelungsbythebloodinthepulmonaryarterywhereitisexcretedintheexpiredair。
Thebasicquestionstobeansweredincludethefollowing:
Howistheairmovedinandoutofthelungs?
Howisthevolumeofairbreathedadjustedtomeettherequirementsofthebody?
Whatlimitstherateofoxygenuptakeinthelungs?
Thedigestivesystem
Thenutrientsneededbythebodyarederivedfromthediet.Foodistakeninbythemouthandbrokendownintoitscomponentpartsbyenzymesinthegastrointestinaltract。
Thedigestiveproductsarethenabsorbedintothebloodacrossthewalloftheintestineandpasstotheliverviatheportalvein.Thelivermakesnutrientsavailabletothetissuesbothfortheirgrowthandrepairandfortheproductionofenergy。
Inthecaseofthedigestivesystem,keyphysiologicalquestionsare:
Howisfoodingested?
Howisitbrokendownanddigested?
Howaretheindividualnutrientsabsorbed?
Howisthefoodmovedthroughthegut?
Howaretheindigestibleremainseliminatedfromthebody?
Thekidneysandurinarytract
Thechieffunctionofthekidneysistocontrolthecompositionoftheextracellularfluid.Inthecourseofthisprocess,theyalsoeliminatenon—volatilewasteproductsfromtheblood。
Toperformthesefunctions,thekidneysproduceurineofvariablecompositionwhichistemporarilystoredinthebladderbeforevoiding。
Thekeyphysiologicalquestionsinthiscaseare:
howdothekidneysregulatethecompositionoftheblood?
Howdotheyeliminatetoxicwaste?
Howdotheyrespondtostressessuchasdehydration?
Whatmechanismsallowthestorageandeliminationoftheurine?
Thereproductivesystem
Reproductionisoneofthefundamentalcharacteristicsoflivingorganisms。
Thegonadsproducespecializedsexcellsknownasgametes。
Atthecoreofsexualreproductionisthecreationandfusionofthemaleandfemalegametes,thespermandova(eggs),withtheresultthatthegeneticcharacteristicsoftwoseparateindividualsaremixedtoproduceoffspringthatdiffergeneticallyfromtheirparents.
Themusculoskeletalsystem
Thisconsistsofthebonesoftheskeleton,skeletalmuscles,joints,andtheirassociatedtissues。
Itsprimaryfunctionistoprovideameansofmovement,whichisrequiredforlocomotion,forthemaintenanceofposture,andforbreathing.Italsoprovidesphysicalsupportfortheinternalorgans。
Herethemechanismofmusclecontractionisacentralissue。
Theendocrineandnervoussystems.
Theendocrineandnervoussystems
Theactivitiesofthedifferentorgansystemsneedtobecoordinatedandregulatedsothattheyacttogethertomeettheneedsofthebody。
Twocoordinatingsystemshaveevolved:
thenervoussystemandtheendocrinesystem。
Thenervoussystemuseselectricalsignalstotransmitinformationveryrapidlytospecificcells.Thusthenervespasselectricalsignalstotheskeletalmusclestocontroltheircontraction。
Theendocrinesystemsecreteschemicalagents,hormones,whichtravelinthebloodstreamtothecellsuponwhichtheyexertaregulatoryeffect.Hormonesplayamajorroleintheregulationofmanydifferentorgansandareparticularlyimportantintheregulationofthemenstrualcycleandotheraspectsofreproduction.
Theimmunesystemprovidesthebody’sdefensesagainstinfectionbothbykillinginvadingorganismsandbyeliminatingdiseasedordamagedcells.
Althoughitishelpfultostudyhoweachorganperformsitsfunctions,itisessentialtorecognizethattheactivityofthebodyasawholeisdependentontheintricateinteractionsbetweenthevariousorgansystems.Ifonepartfails,theconsequencesarefoundinotherorgansystemsthroughoutthewholebody.Forexample,ifthekidneysbegintofail,theregulationoftheinternalenvironmentisimpairedwhichint