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Lecture 23 Digestion in stomach

Food comes into stomach after corresponding processing in oral cavity. It is (mixed with saliva) locates in stomach in course of 2-10 hours. Food undergoes both mechanical and chemical processing in stomach. These processes are possible due to stomach functional peculiarities. Such peculiarities are the following. First of all, food are deponated in stomach. Stomach is food masses reservoir. They are mixed with stomach juice in it. Stomach possesses excretory function. Some metabolites (urea, ureic acid, creatin, creatinin) as well as substances coming into organism out of it (hard metals salts, iodine, pharmacological preparations) are released with stomach juice. Its incretory function is linked with hormones formation. These hormones participate in stomach and other alimentary glands (gastrine, hystamine, somatostatine, motiline and others) activity regulation. Water, medicines and alcohol absorbtion possibility is a stomach characteristics. Protective function is very important in stomach: stomach juice possesses both bacteriocydic and bacteriostatic action. Besides, it can provide food regurgitation or return (vomiting) at its inquality preventing its coming into intestine.

But stomach secretory and motor functions are the main for it.

Stomach secretory activity is realized by gastric glands producing stomach juice. They are reproduced by 3 cellular groups:

  1. main – take part in enzymes secretion (pepsines);

  2. parietal – produce hydrochloric acid;

  3. additional – release mucus.

Stomach juice content and features depend on several factors. For example, juice released under rest state (on an empty stomach) has neutral or weak-acid reaction (pH – 6,0). This juice consists of saliva and proper stomach juice, sometimes with chimus addition. Juice secretion is enforced in course of food taking; it contains main alimentary enzymes set and hydrochloric acid. Such juice has sharply acid reaction (pH 0,8-1,5). Stomach juice general amount in human being at usual feeding regime is 1,5-2,5 l per twenty-four-hours. Water’s content in it is up to 99,0-99,5 per cent. Solid residue is represented by organic and inorganic substances (chlorides, sulfates, phosphates and other substances). But main inorganic component of stomach juice is hydrochloric acid. Juice organic part – are enzymes, mucoids (for instance, gastromucoproteid or internal Kastl’s factor).

Hydrochloric acid secretion is linked with gastric carboanhydrase activation. Hydrochloric acid is very important in digestion.

  1. It encourages pepsinogene transformation into pepsine and, thus, provides optimal environment reaction for alimentary enzymes action.

  2. It denaturates proteins and causes its swelling.

  3. It determines stomach juice bacteriostatic features.

  4. It transforms milky products into curd cheese.

  5. It neutralizes saliva enzymes.

  6. It helps food transition from stomach to duodenum.

  7. It stimulates stomach motor activity.

  8. It helps gastro-intestinal tract hormones secretion (gastrine, secretine).

Stomach juice enzymes mainly influence on proteins hydrolysis to albumoses and peptines (even with little aminoacids amount formation). They separate 7 pepsinogenes types which are transformed into pepsines under hydrochloric acid action.

Main stomach juice pepsinogenes:

  • pepsine “A” – decomposes proteins to polypeptides at gastric juice pH 1,5-2,0;

  • pepsine “B” – destructs gelatine, connective tissue proteins at pH up to 5,0;

  • pepsine “C” – acts at stomach juice pH 3,2-3,5;

  • pepsine “D” – dissolves milky caseine.

Stomach juice contains lipase (it decomposes emulgated fats to glycerine and fat acids at pH 5,9-7,9. It’s amount is small in adults but it decomposes up to 59 per cent milky fat in adulthood.

Besides enzymes, gastric juice contains mucin (mucus) preventing stomach mucosa from autolysis under hydrochloric acid and pepsines action. There are neutral polysacharides in mucus. They are structural part of group blood antigenes, growth factor and antianaemic Kastl’s factor. Syalomucines of mucus prevents viral haemagglutination and glycoproteins (internal Kastl’s factor).