UNIVERSIDAD UNIVERSID AD NACIONAL DE UCAY UCAYALI ALI
PRÁCTICA 1 'H 2 ACIDEZ G3STRICA. 1 DIGE DIGEST STI4 I4N N DE DE CARB CARBOH OHID IDR RATO TOS S FACULTAD: ACULTAD:
MEDICIN MEDI CINA A HUMANA HUMA NA
CURSO
:
FISIOLOGÍA HUMANA
DOCENTE
:
Blgo. ORTIZ ORTIZ URIBE, WASHINGTON
ALUMNOS ALUMNOS :
García D!"la, Bra#l"o Elía$ R%&%g#" R% &%g#" '"(&o, )#a( M"g#%l Sa(*o!al C%r*(, Da(+%lo Larr+ Sa(gaa S(c-%, Er(%$&o S-#/"(ga-#a S"l!a, M%r"&a. 0al%(c"a Gra*o$, Gra*o$ , D"(a E$&-%r.
1. PH Y ACIDEZ GÁSTR GÁS TRICA ICA
I. Introducción ión La /%/$"(a $%cr%&a %( la$ gl(*#la$ g$&r"ca$ %$ la %("a %(carga*a *% "("c"ar la *"g%$&"5( *% la$ /ro&%í(a$. E$&a %("a &"%(% ac&"!"*a* 6"a a #( /H *% 7 a 8 + &"%(*% a "(ac&"!ar$% c#a(*o %l /H %$ a+or *% 9. E( co($%c#%(c"a /ara #% %$&a %("a ac&;% $o
l#la$ /ar"%&al%$, %l #% l% co(?%r% *"c-a carac&%rí$&"ca. Lo$ a(&"c"*o$ $o( co/#%$&o$ <$"co$ #% (%#&ral"a( %l c"*o %( la l# g$& g$&r" r"ca ca + $# #$o %$ %$& & "(*" "(*"ca ca*o *o %( ga$& ga$&r" r"&" &"$$ + co coo o a*+#! a*+#!a( a(&% &% %( %(@%r%*a* ;lc%ra />/&"ca. II. OBJETIVO IVOS:
Gnr!": R%co(oc%r la ac"*% g$&r"ca R%co(oc%r Calc#lar %6/%r"%(&al%(&% %l /H *% *"!%r$a$ $ol#c"o(%$ *% c"*o$ + <"l%$ $%g;( %l /H or"g"(a*o.
E#$c%&co: D%&%r"(ar lo$ /H &%5r" 5r"co$, +a $%a c"*o o
III.
'!tri!" i!"# # ( )* )*todo#
III.I 'ATERIA+ES: 'ATERIA+ES: 'laca$ '%&r"
3c"*o 3c"*o clorclor-í*r í*r"co "co al al ,N ,N T"ra$ T"ra$ R%ac&" R%ac&"!a$ !a$ /ara /ara %*"c" %*"c"5( 5( *% /H U( @ra$c @ra$co o *% a(&" a(&"c" c"*o *o lí#" lí#"*o *o U( &arr &arro o *% *% l%c l%c-% -% '"/%& '"/%&a$ a$ *% *% /l$&" /l$&"co co *% *% 8cc 8cc
III.II PROCEDI'IE,TO: . Colocar 7cc *% c"*o clor-í*r"co al ,N %( 7 /laca$ '%&r", $% %!al;a %l /H *% la $ol#c"5( co( la$ &"ra$ r%ac&"!a$. 7. Agr%gar %( #(a *% %lla$ %l a(&"c"*o + %( la o&ra la l%c-% *"l#"*a, %( !ol;%(%$ *% cc. 8. M%*"r %l /H %( ca*a #(a *% la$ $ol#c"o(%$.
IV.
RES-+TADOS: Colocar 7cc *% c"*o clor-í*r"co al ,N %( 7 /laca$ '%&r", $% %!al;a %l /H *% la $ol#c"5( co( la$ &"ra$ r%ac&"!a$. Agr%gar %( #(a *% %lla$ %l a(&"c"*o + %( la o&ra la l%c-% *"l#"*a, %( !ol;%(%$ *% cc. El c"*o clor-í*r"co &"%(% #( '- *% , al agr%gar$% %$&a %( %l a(&"c"*o %l '- $% o*"?c5 a #(o$ .9. F"(al%(&%, c#a(*o $% agr%g5 %$&% ac"*o a la l%c-% $% "*"5 #( '- *% 7.9. C#a*ro
HC+
HC++ECHE
HC+ A+ / OH0
PH 7 9 El HCL &"%(% #( /H $ ac"*o, +a #% (o %$&a co<"(a*a co( o&ra $#$&a(c"a /Mg OH,Al OH 0 #% l% /%r"&a r%*#c"r $# ac"*%$. V.
DISC-SI,: .
S%g;( RA2MOND WC %l -"*r56"*o *% al#"("o + %l -"*r56"*o *% ag(%$"o @ora( /ar&% *% la +la(&a + l%c-% *% ag(%$"a, #% $% %/l%a( /ara co(&rarr%$&ar la ac"*% %$&oacal + /or %llo co&"*"a(a%(&% $% l%$ co(oc% coo a(&"c"*o$. O<$%r!a(*o lo$ r%$#l&a*o$ %@%c&"!a%(&% /o*%o$ o<$%r!ar #% %l -"*r56"*o *% al#"("o co(&rarr%$&ar la ac"*%$ *%l HCL.'AGINA 8J
7. S%g;( Ca&al"(a Caro(a T. El %@%c&o aor&"g#a*or #% /o$%% la l%c-% @r%(&% al c"*o clor-í*r"co %$ %(or a co/arac"5( *% #( a(&"c"*o PAG.123. S% o<$%r!a %( lo$ r%$#l&a*o$ /cu!dro 10 #% %l /H *% la HC++ECHE # 4 + %l $H HC+ A+ /OH0 # 5 , %(&o(c%$ la l%c-% &"%(% %(o$ %@%c&o aor&"g#a*or #% %l A+/OH0. co"(c"*"%(*o co( lo #% *"c% CATALINA CARMOSA.
VI.
CO,C+-SIO,ES:
U( a$/%c&o @#(*a%(&al %( la ?$"ología *% &o*o$ lo$ orga("$o$ %$ la -o%o$&a$"$ o ca/ac"*a* /ara a(&%(%r #(a $"&#ac"5( *% %#"l"
VII. BIB+IGRA6IA: RA2MOND WC, K#í"ca l"6"co: E*"&or"al Ul&ra S.A.*% C.0.JJ Co($#l&a*o *% *"c"%
I.
4. 6ISIO+OG7A DIGESTIVA DIGESTIO, DE CARBOHIDRATOS. I,TROD-CCIO,: La *"g%$&"5( %$ "/or&a(&% /or co(&%(%r a la a"la$a $al"!al o /&"al"(a, %("a #% -"*rol"a *"!%r$o$ &"/o$ *% /ol"$acr"*o$. El /H *% la $al"!a %$ c%rca(o a la (%#&ral"*a*, /or lo #% %( %l %$&5ago %$&a %("a $% "(ac&"!a &o&al%(&%, lo c#al lo$ carr"ca$ /ara /o*%r a&ra!%$ar la /ar%* "(&%$&"(al + &oar a$í %l &orr%(&% $a(g#í(%o /ara ll%gar a la$ c>l#la$ % "(gr%$ar al "(&%r"or /ara $%r #&"l"a*o$ %( c#al#"%ra *% la$ @#(c"o(%$ %( #% /ar&"c"/a( %(%rg>&"ca, *% r%co(oc""%(&o, %$&r#c&#ral o coo /r%c#r$or *% o&ra$ ol>c#la$. E( %l *#o*%(o $% !"%r&% %l =#go /a(cr%&"co #% co(&"%(% %(&r% o&ro$ #c-o$ %l%%(&o$, a"la$a /a(cr%&"ca S# /H 5/&"o %$ *% . + ro/% al aar lo$ %(lac%$ al@a,1 *%l al"*5(, *"a$&a$a o a"lo/$"(a, %$&a ;l&"a #+ /ar%c"*a a la %("a $al"!al. E( la *"g%$&"5( *% lo$ car
II. OBJETIVO: 1 I(&%r/r%&ar lo$ %ca("$o$ *% la *"g%$&"5( *% lo$ car
III.II PROCEDI'IE,TO: Ca*a al#(o "(g"%r% + a$&"ca #(a gall%&a *% $o*a -a$&a &r"&#rarla + l#%go coloca %l
IV.
RES-+TADOS OBTE,IDOS.
G!""t! #!"!d! tritur!d! dur!nt 15 )inuto# El $a
G!""t! con "u8o" Ca<"o a #( color o$c#ro carac&%rí$&"co *% la r%acc"5( *%l +o*o co( %l al"*5(.
V.
DISC-SI, S%g;( '!nu"! '!rt%n9Snc;<. Lo$ al"%(&o$ *% or"g%( !%g%&al: %( %$&% ca$o coo la$ gall%&a$ co(&"%(%( al"*5( /#%$&o #% $% -a( &%"*o co( %l l#gol. El l#gol &"%(% "o*o + %$&a r%acc"o(a co( %l al"*5(.$8.15= .co"(c"*% lo #% -"c"o$ %( la /rc&"ca.
VI.
CO,C+-SIO,ES: Agr%ga(*o *o$ go&a$ *% l#gol a la gall%&a &r"&#ra*a, (o$ /%r"&"5 *%&%c&ar %l al"*5( +a #% %$&a a*o/&o #( color a#l o$c#ro + %$&% color $% *%<% a #% co(&"%(% +o*o.
VII.
PREG-,TAS A+ 6I,A+ DE+ I,6OR'E: 1. >?u* ")nto# @or)!n $!rt d" u8o 8#trico El =#go g$&r"co %$ #( lí#"*o /ro*#c"*o /or %l %$&5ago, /r"(c"/al%(&% co(&"%(% c"*o clor-í*r"co + %("a$. E$ #( lí#"*o claro $%gr%ga*o %( a<#(*a(c"a /or (#%ro$a$ gl(*#la$ "cro$c5/"ca$ *"$%"(a*a$ /or la #co$a *%l %$&5ago. S#$ /r"(c"/al%$ co/o(%(&%$ $o(: •
Ag#a
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E("a$: /%/$"(a, r%("(a g$&r"ca + l"/a$a g$&r"ca. 'ara /ro&%g%r$% *% la ac"*% *% %$&o$ =#go$, la$ c>l#la$ *%l %$&5ago $%cr%&a( #co$a %( la$ /ar%*%$ *%l %$&5ago + a$í (o /%(%&ra( lo$ =#go$ g$&r"co$.
4. >Cu" # "! @unción d c!d! c*"u"! d un! 8"ndu"! 8#tric! So( (#%ro$o$ lo$ *"@%r%(&%$ &"/o$ *% c>l#la$ /r%$%(&%$, /%ro a#í lo$ %(c"o(ao$: •
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C*"u"!# )uco#!#: $%cr%&a( oco + <"carl#la$ /ar"%&al%$ a lo$ c#al%$ $% #(% la -"$&a"(a. C*"u"!# D: $%cr%&a( $oa&o$&a&"(a #% "(-"<% la $%cr%c"5( g$&r"ca.
. 'ncion " )c!ni#)o d $roducción d cido 8#trico. El c"*o g$&r"co, /ro*#c&o *% la $%cr%c"5( *% la$ c>l#la$ g$&r"ca$ /ar"%&al%$ # o6í(&"ca$, c#/l% rol%$ <"ol5g"co$ "/r%$c"(*"
E$&o$ "(&%racc"o(a( co( r%c%/&or%$ %$/%cí?co$, lo #% a $# !% ac&"!a $%g#(*o$ %($a=%ro$ r%/r%$%(&a*o$ /or AM'c + %l $"$&%a calc"ocalo*#lí(. E$&o$ l#%go ac&"!a( %( ca$ca*a $#c%$"!a a #(a /ro&%"(o"(a$a #% @o$@or"la #(a /ro&%í(a %$/%cí?ca, ac&"!(*ola, lo #% "("c"a la $í(&%$"$ *% c"*o. U(a l#la /ar"%&al, %6&r#+% ?(al%(&% %l c"*o $"(&%&"a*o -ac"a %l l#%( g$&r"co. El /roc%$o $%cr%&or *%$cr"&o %$ /#%$&o %( o!""%(&o, $%c#%(c"al%(&% %( &r%$ @a$%$, *o$ *% %lla$ %$&"#la*ora$ 1@a$% c%@l"ca + @a$% g$&r"ca1 + #(a "(-"<"*ora o @a$% "(&%$&"(al. E$&a$ %&a/a$ $o( "("c"a*a$ /or @%(5%(o$ $"co1(%#ral%$ 1/%($a"%(&o, !"$"5(, ol@ac"5( o r%c#%r*o1 /or al"%(&o$ + o&ra$ $#$&a(c"a$ "(g%r"*a$ + /or /ro*#c&o$ *% la *"g%$&"5( *% (#&r"%(&%$.
. 'ncion "!# @!## d "! #crción cid! 8#tric!. La$ @a$%$ $o(:
6!# c@"ic!: a#í $% @ora #( %$&í#lo *% $%cr%c"5( %*"a(&% %l (%r!"o !ago, #% %$ %l V /ar, *o(*% lo$ %$&í#lo$ #% lo /ro*#c%( $o( %l olor, $a( $% %$&"#la la $%cr%c"5( *% ga$&r"(a. 6!# duodn!": "%(&ra$ %l
5. >Cu"# #on "!# #u#t!nci!# u in;in ( cu"# "!# u #ti)u"!n "! #crción cid! 8#tric! S-STA,CIAS ?-E I,HIBE,: 1 Io(%$ B"car/&"*o I(-"<"*or G$&r"co 1 'ol"/%/&"*o I(&%$&"(al 0a$oac&"!o 1 S%cr%&"(a 1 Soa&o$&a&"(a 1 Nora*r%(al"(a S-STA,CIAS ?-E ESTI'-+A,: 1 Ga$&r"(a 1 H"$&a"(a 1 Ac%&"lcol"(a =. 'ncion "o# @cto# d "o# di@rnt# ti$o# d !"i)nto# /c!ro;idr!to# "%$ido# $rot%n!#0 #or "! #crción cid! ( " F!ci!)into 8#trico. ESTI'-+A, +A SECRECIO, GÁSTRICA La$ /ro&%í(a$ $o( la$ #% %$&"#la( a+or%(&% la $%cr%c"5( c"*a. 1 Lo$ /ro*#c&o$ *% la *"g%$&"5( />/&"ca *% la$ /ro&%í(a$ /ol"/>/&"*o$, /%/&"(a$ + a"(oc"*o$ $o( /ro&%í(a$ %$&"#la(&%$ *% la $%cr%c"5( c"*a. 1 Lo$ car(*o$% %l %ca("$o %6ac&o. 1 La$ gra$a$ $o( "(-"<"*or%$ *% la $%cr%c"5( c"*a +a $%a /%r@#(*"*o$ %( %l %$&5ago, "(&%$&"(o *%lga*o, colo( o "(&ra!%(o$a%(&%, *%$co(oc">(*o$% %l %ca("$o. 1 La$ gra$a$ /ro!oca( a#%(&o *% la $%cr%c"5( *% />/&"*o "(-"<"&or"o g$&r"co GI' (%#ro&%($"(a, gl#cag5(, />/&"*o "(&%$&"(al !a$oac&"!o 0', col%c"$&o#"("(a CC.
ESTI'-+A, E+ VACIA'IE,TO GASTRICO El !ac"a"%(&o g$&r"co %$ r%&ra$a*o /or la$ co"*a$ $5l"*a$, gra$a$, c"*a$, cal"%(&%$, -"/%r&5("ca$, *% al&a !"$co$"*a* + /or !ol;%(%$ *% lí#"*o$ $#/%r"or%$ a 8 l. E$ /oco al&%ra*o /or al"%(&o$ r"co$ %( /ro&%í(a$ % -"*ra&o$ *%
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CO'O SE DA +AS ESTI'-+ACIO,ES: CARBOHIDRATOS: Lo$ carr"*o$, col%$&%rol %$&%ra$a -"*rol"a lo$ %$&%r%$ *% col%$&%rol, @o$@ol"/a$a $%/ara lo$ c"*o$ gra$o$ *% lo$ @o$@olí/"*o$. PROTEI,AS Al "g#al #% lo$ carCu"# #on "o# )c!ni#)o# d $rotcción d "! )uco#! 8#tric! E$"iu #u# @uncion#.
'ECA,IS'OS DE6E,SIVOS DE +A '-COSA GÁSTRICA 10 C!$! #t!" d 'oco ( Bic!ron!to La /r"%ra lí(%a *% *%@%($a *% la #co$a %$ la ca/a %$&al#la$ $#/%r?c"al%$ %/"&%l"al%$. A*%$ *% $%r /ar&% *% la ca/a %$&al#la$ %/"&%l"al%$ $#/%r?c"al%$ + /arc"al%(&% /or c>l#la$ /ar"%&al%$ %$&"#la*a$ ar%a alcal"(a. El g%l #co$o "(""a la />r*"*a l#"(al *% <"car
40 C*"u"!# E$it"i!"# #u$r&ci!"# La $%g#(*a lí(%a *% *%@%($a #co$a %$& @ora*a /or la ca/a co(&"(#a *% c>l#la$ %/"&%l"al%$ $#/%r?c"al%$ #% $%gr%ga( oco + <"carl#la$ $o( -"*ro@5<"ca$, r%/%l"%(*o %l c"*o + ag%(&%$ *a"(o$ -"*ro$ol#
0 RnoF!ción C"u"!r La co(&"(#a r%(o!ac"5( c%l#lar, *%$*% c>l#la$ /rog%("&ora$ %( la o(a /rol"@%ra&"!a #co$a, /ro*#c% %l r%%/lao *% c>l#la$ $#/%r?c"al%$ *aa*a$ o !"%=a$. E$&a$ c>l#la$ /rog%("&ora$ %( la o(a *%l c#%llo *% la gl(*#la, %6/r%$a( r%c%/&or%$ /ara %l @ac&or *% cr%c""%(&o %/"*>r"co + />/&"*o r%lac"o(a*o, coo %l @ac&or *% cr%c""%(&o &ra($@ora(&% al@a #% $o( lo$ /r"(c"/al%$ @ac&or%$ *% cr%c""%(&o r%$/o($a
0 K'!rc! A"c!"in!K
La$ c>l#la$ /ar"%&al%$ $%cr%&ora$ *% HCI al l#%( g$&r"co %( @ora $"#l&(%a $%cr%&a(*o <"car
50 'icrocircu"!ción La "croc"rc#lac"5( #co$a l"<%ra o6íg%(o + (#&r"%(&%$ a la #co$a co/l%&a + r%#%!% $#$&a(c"a$ &56"ca$. El %(*o&%l"o "cro!a$c#lar g%(%ra !a$o*"la&a*or%$ &al%$ coo la /ro$&ac"cl"(a + %l 56"*o (í&r"co NO, #% /ro&%g%( a la #co$a g$&r"ca co(&ra la "(=#r"a + $% o/o(%( a la acc"5( *a"(a *% la #co$a *% lo$ !a$oco($&r"c&or%$, coo l%#co&r"%(o CX, &rol#la$ %(*o&%l"al%$ *% la "cro!a$c#lar"*a* /%r"@>r"ca a la$ r%a$ l%$"o(a*a$ "("c"a( la r%/arac"5( + r%co($&r#cc"5( *% la &raa "cro!a$c#lar a &ra!>$ *% la a(g"og>(%$"$.
=0 Pro#t!8"!ndin!# La g%(%rac"5( /%ra(%(&% *% /ro$&agla(*"(a$ E7 'GE7 + /ro$&ac"cl"(a 'GI7 /or la #co$a %$ cr#c"al /ara a(&%(%r la "(&%gr"*a* *% la #co$a. Ca$" &o*o$ lo$ %ca("$o$ *%@%($"!o$ *% la #co$a $o( %$&"#la*o$ o @ac"l"&a*o$ /or /ro$&agla(*"(a$ %65g%(a$ o %(*5g%(a$.
0 ,rFio# Sn#ori!"# La %$&"#lac"5( *% (%r!"o$ $%($or"al%$ g$&r"co$ co(*#c% a la l"<%rac"5( *% (%#ro&ra($"$or%$ coo %l />/&"*o r%lac"o(a*o al g%( *% la calc"&o("(a 'RGC + la $#$&a(c"a ' %( la$ &%r"(ac"o(%$ (%r!"o$a$, local"a*o$ *%(&ro o c%rca *% lo$ gra(*%$ !a$o$ $#<#co$o$. 'RGC %=%rc% #(a acc"5( /ro&%c&ora *% la #co$a $ /ro$ *% la !a$o*"la&ac"5( *% lo$ !a$o$ $#<#co$o$ !ía la g%(%rac"5( *% 56"*o (í&r"co.
30 '!tri< Etr!c"u"!r
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3. >?u* c!ro;idr!to contin "! 8!""t! d #od! ( u* otr! #!" #t $r#nt A co(&"(#ac"5(, $% #%$&ra( #(a $%r"% *% &a
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2. >?u* # " +u8o" ( $!r! u* #irF El "u8o" o #o"ución d +u8o" %$ #(a *"$ol#c"5( *% +o*o ol%c#lar I7 + +o*#ro /o&$"co I %( ag#a *%$&"la*a. S# #&"l"ac"5(: •
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BIB+IOGRA6IA: 1. '!nu"! '!rt%n9Snc;< N"iro "ctrónicoE#$!!: Editori!" 'dic! P!n!)ric!n! 4M1MNcon#u"t!do 1= d dici)r d" 4M1.
