Nervous system
A. Central Nervous System(CNS) b. Peripheral Nervous
System(PNS)
Brain and spinal
cord
Outside the brain and spinal cord
|
1-Sympathetic |
2- Parasympathetic |
3- Enteric neurons |
|
(Thoraco-Lumbar
outflow) *Preganglionic neurons arise from thoracic and lumbar regions (L1 to
L2) of the spinal cord. |
(Cranio-Sacral outflow)
Preganglionic neurons arise from cranial nerves 24
3rd (Oculomotor) 7th (Facial) 9th
(Glossopharyngeal) 10th (Vagus) and from 2nd 3rd and 4th sacral segments. |
It is a collection of nerve
fibers that innervate the GIT, pancreas, and gallbladder, and it constitutes
the "brain of the gut". This system functions independently of the
CNS and control the motility, exocrine and endocrine secretions. - It is
modulated by both the sympathetic and parasympathetic nervous system. |
|
- Consist of short preganglionic fibers
and long postganglionic fibers. |
- Consist of long
preganglionic fibers and short postganglionic fibers. |
|
|
Chemical
transmitters -
Adrenaline & Nor-adrenaline. Except: Thermoregulatory
(Eccrine) sweat gland & adrenal medulla they release ACh. |
Chemical transmitters - ACh (Acetylcholine). |
Most organs in the body are innervated by both divisions of
the ANS
(dual
innervation)
-Some organs are supplied with one division of
ANS:
1.Iris sphincter (pupillary constrictor) muscle (Circular)à Supplied by parasympathetic (M3).
2.Iris dilator (pupillary dilator)
muscle (Radial) à
Supplied by sympathetic (α1).
3.Arrector pili muscle (pilomotor muscle) Supplied by
sympathetic (α 1)àhair
erection. The contraction of the muscle is therefore involuntary-stresses e.g. cold, fear (Goosebumps).
4.Thermoregulatory (Eccrine) sweat gland àSupplied only by sympathetic
fibers, but through cholinergic (parasympathetic) receptors (M3).
5.Blood Vessels Vascular smooth muscle is innervated
primarily by the sympathetic and indirectly non-innervated by the
parasympathetic.
I.e. Direct acting à
innervated sympathetic à α1 receptor
(Vasoconstriction).
Indirect acting
Non-innervated parasympathetic M3 receptors (Vasodilatation) via the nitric
oxide (NO)/endothelium derived relaxing factor (no direct innervation).
Role of the CNS in the control of autonomic function:
ANS is provided by streams of afferent
impulses, originating in the viscera and other autonomically innervated
structures that travel to integrating centers in the CNS, such as the hypothalamus, medulla oblongata and spinal cord.
These centers respond to the stimuli by sending out efferent reflex impulses
via the ANS.
Reflex arc: A reflex arc is a
neural pathway that controls an action reflex. Most of the afferent impulses
are involuntarily translated into reflex responses. For example a fall in blood
pressure causes pressure- sensitive neurons (baroreceptors in the heart, vena cava,
aortic arch, and carotid sinuses) to send fewer impulses to
cardiovascular centers in the brain. This prompts a reflex response of
increased sympathetic output to the heart and vasculature and decreased
parasympathetic output to the heart, which results in a compensatory rise in
blood pressure and tachycardia.
Chemical
transmitters in the ANS:
1.Chemical transmitter for
parasympathetic is Acetylcholine (ACh).
2.Chemical transmitter for
sympathetic is mainly Adrenaline (Epinephrine) and Noradrenaline
(Nor-epinephrine).
3.Other transmitters involved:
called Non-Adrenergie Non-Cholinergic (NANC) transmitters. Some of the NANC
found in peripheral nervous system:
-Nitric Oxide (NO)
-ATP
-Serotonin (5-HT)
-Dopamine -Neuropeptide Y
(NPY)
-Vasoactive Intestinal Peptide (VIP)
-Gamma-amino-butyric Acid.
-Calcitonin gene-related peptide
(CGRP) and Substance P.
السلام عليهم يا دكتور هل حضرتك هتكمل سلسله كلينكال فارما للاخر لاخر مستوي ؟ بصراحه حضرتك بتفيدنا كتير وانا بستفد منك جدا وطريقتك بسيطه جدا ياريت لو تكمل السلسه كلها ربنا يبارك فيك
ReplyDeleteإن شاء الله هكملها ، وبتمني باقي الاجزاء تبقي احسن واسلوبها اكثر متعة
Deleteربنا يبارك لحضرتك ي دكتور شرح مبسط وجميل
ReplyDeleteممكن يا دكتور اتوضحلي شنو هو المعيار اللي علي اساسه يتم تصنيف الباراسمباثاتك انه تثبيطي مع انه يحفز في الجهاز الهضمي ...وكذلك حال الجهاز السمباثاوي
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