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Биохимия легких

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ВведениеОсновные функции легких Продукция различных веществ (сурфактант, слизь, коллаген), Синтез БАВ - АФК, кинины, биогенные амины – серотонин, гистамин, катехоламины Инактивация БАВ Активация ангиотензина АОЗ (ферментативная и не ферментативная). Сурфактант, его

Слайды и текст этой презентации

Слайд 1Биохимия легких
Лекция № 36
Дмн, проф. А.И. Грицук

Биохимия легкихЛекция № 36Дмн, проф. А.И. Грицук

Слайд 2Введение
Основные функции легких
Продукция различных веществ (сурфактант, слизь, коллаген),
Синтез

БАВ - АФК, кинины, биогенные амины – серотонин, гистамин, катехоламины


Инактивация БАВ
Активация ангиотензина
АОЗ (ферментативная и не ферментативная).
Сурфактант, его продукция и контроль.
ВведениеОсновные функции легких Продукция различных веществ (сурфактант, слизь, коллаген), Синтез БАВ - АФК, кинины, биогенные амины –

Слайд 3Основные функции легких
Газообмен (поддержка и обеспечение аэробного энергетического обмена, детоксикации,

синтеза БАВ)
Регуляция КОС
Экскреторная – удаление СО2 и др.
Ловушка мелких тромбов
Инактивация

и катаболизм БАВ
Активация БАВ
Детоксикация ксенобиотиков
Основные функции легкихГазообмен (поддержка и обеспечение аэробного энергетического обмена, детоксикации, синтеза БАВ)Регуляция КОСЭкскреторная – удаление СО2 и

Слайд 4No smoking!

No smoking!

Слайд 5No smoking!

No smoking!

Слайд 6Болезни легких
Болезни легких обычно группируются по тому как влияют на

функцию легких:
Обструктивные болезни легких (эмфизема, астма, хр. бронхит) Obstructive

lung diseases, such as emphysema, asthma, and chronic bronchitis, cause the airways to become partly blocked or narrower, making it more difficult for air to move through them.
Cigarette smoking and air pollution are major causes of these diseases.
Restrictive lung diseases make it harder for the respiratory system to expand. They can cause a stiffening of the lung or chest wall or make the respiratory muscles unable to respond to nerve signals from the brain.
Breathing substances such as asbestos, silica, and coal dust can cause some types of restrictive disease.
Pulmonary vascular diseases affect the circulation of blood in the lungs.
For example, in pulmonary hypertension, the small blood vessels of the lung become narrower, making it difficult for the right side of the heart to pump blood.
Болезни легкихБолезни легких обычно группируются по тому как влияют на функцию легких: Обструктивные болезни легких (эмфизема, астма,

Слайд 7No smoking!
Some diseases are difficult to categorize because they can

harm the lungs in a number of ways.
Some pollutants--particularly

cigarette smoke--affect the cilia, causing the upward movement of mucus to slow or stop.
Smoking cigarettes is also a major cause of lung cancer. Infectious lung diseases, such as tuberculosis and pneumonia, are caused by bacteria, viruses, or other organisms.
These diseases are serious health concerns in all parts of the world.
No smoking!Some diseases are difficult to categorize because they can harm the lungs in a number of

Слайд 8Lung Emphysema
Is a lung disease in which victims have difficulty

breathing, especially when they exhale.
Emphysema is one of the

two main forms of chronic obstructive pulmonary diseases (COPD).
The other is chronic bronchitis.
Chronic obstructive pulmonary diseases are characterized by progressive narrowing of the airways.

Picture source: US Food and Drug Administration
http://64.143.176.9/library/healthguide/en-us/images/media/medical/hw/h9991437_001.jpg

Lung EmphysemaIs a lung disease in which victims have difficulty breathing, especially when they exhale. Emphysema is

Слайд 9How Emphysema Affects Breathing
Fresh air is carried through the airways

to alveoli, contain a network of pulmonary capillaries. The gas

exchange occurs.
Emphysema destroys the walls of alveoli, including the pulmonary capillaries. The lung begins to lose elasticity and becomes overinflated as more air is inhaled and trapped in the air spaces.
Thus, emphysema disrupts the flow of carbon dioxide from the body and deprives body tissues of needed oxygen.

Picture source: The New York Times
http://graphics8.nytimes.com/images/2007/08/01/health/adam/17055.jpg

How Emphysema Affects BreathingFresh air is carried through the airways to alveoli, contain a network of pulmonary

Слайд 10Symptoms of Emphysema
difficulty in breathing, especially during exhalation;
shortness of

breath;
an enlarged chest;
bluish skin color
resulting from a

less than normal amount of oxygen in the blood.
Emphysema victims often suffer from frequent colds and lung infections. Some also develop serious heart disease.
Symptoms of Emphysema difficulty in breathing, especially during exhalation; shortness of breath; an enlarged chest; bluish skin

Слайд 11Causes and Treatment of Emphysema
Causes:
cigarette smoking;
air pollution;
environmental or

occupational hazards;
repeated infections;
genetic factors;
a1-antitrypsine deficiency.
Macrophagal proteases can destroy

the alveolar walls in emphysema victims. a1-antitrypsine control these enzymes.

Treatment.
Emphysema cannot be cured, but treatment may help reduce further lung damage.
Victims of emphysema should
avoid cigarette smoking and air pollution.
promptly treat recurrent colds and infections.
Many victims are helped by drugs, physical therapy, special breathing techniques, and by breathing oxygen-enriched air.

Causes and Treatment of EmphysemaCauses:cigarette smoking; air pollution; environmental or occupational hazards; repeated infections; genetic factors;a1-antitrypsine deficiency.Macrophagal

Слайд 12Smoking is Shameful!

Smoking is Shameful!

Слайд 13Smoking is Lucky Shot!

Smoking is Lucky Shot!

Слайд 14Stop Smoking!

Stop Smoking!

Слайд 15Smoking Kills!

Smoking Kills!

Слайд 16Smoking Kills!

Smoking Kills!

Слайд 17No smoking!

No smoking!

Слайд 18No smoking!

No smoking!

Слайд 19…to smoke or not to smoke?

…to smoke or not to smoke?

Слайд 20Smoking Causes Cancer!

Smoking Causes Cancer!

Слайд 21Smoking shortens your days!

Smoking shortens your days!

Слайд 22Smoking makes your look fool!

Smoking makes your look fool!

Слайд 23Smoking is dangerous!

Smoking is dangerous!

Слайд 24Smoking kills!

Smoking kills!

Слайд 25Smoking = Lung Cancer

Smoking = Lung Cancer

Слайд 26Smoking steels your days!

Smoking steels your days!

Слайд 27Smoking Kills!

Smoking Kills!

Слайд 28Респираторный дистресс синдром (болезнь гиалиновых мембран)
…or respiratory distress syndrome, is

a lung condition that affects premature babies.
underdevelopment of the

lungs of these infants.
The air sacs of the lungs collapse, causing rapid, difficult breathing and, in many cases, death by suffocation.
Hyaline membrane disease ranks as a major cause of death among premature infants.
Респираторный дистресс синдром (болезнь гиалиновых мембран)…or respiratory distress syndrome, is a lung condition that affects premature babies.

Слайд 29Респираторный дистресс синдром
The term hyaline membrane refers to the clear,

glassy membranes found in the lungs of babies that die

of the disease.
Many physicians believe these membranes are produced as a reaction to lung damage caused by the strain of breathing air in an immature lung.
Респираторный дистресс синдромThe term hyaline membrane refers to the clear, glassy membranes found in the lungs of

Слайд 30Surfactant
Underdeveloped lungs lack pulmonary surfactant: prevents the air sacs from

collapsing.
respirators and high-humidity incubators: 4-5 days of therapy, then

lungs produce pulmonary surfactant.
Artificial surfactants can be given to infants soon after birth to prevent the disease.

Dipalmitoylphosphatidylcholine (DPPC) is a phospholipid and the major constituent of pulmonary surfactant.

SurfactantUnderdeveloped lungs lack pulmonary surfactant: prevents the air sacs from collapsing. respirators and high-humidity incubators: 4-5 days

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