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    《ISPN学习》总第506期
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    《ISPN学习》总第718期
    日期:2020-12-16 10:20:00    
     
    《ISPN学习》2020年12月16日总第718期
     


     
    The Hypothalamus 下丘脑  
     
    The hypothalamus is the coordinating center for the nervous and endocrine responses to internal and external stimuli. The hypothalamus constantly monitors the body’s homeostasis by analyzing input from the periphery and the central nervous system (CNS) and coordinating responses through the autonomic, endocrine, and nervous systems. In effect, it is the “master gland” of the neuroendocrine system. This title was once given to the pituitary gland because of its many functions and well-protected location (see The Pituitary Gland).

    下丘脑是神经和内分泌系统内、环刺激反应的协调忠心。下丘脑通过分析周围和中枢神经系统(CNS)输入信息,协调自主、内分泌和神经系统反应,不断监测机体内环境稳定状况。实际上,它就是神经分泌系统的“主腺”。这一称号曾一度属于垂体,因为垂体具有多种功能,其位置也受到很好的保护(垂体)

    The hypothalamus has various neurocenters—areas specifically sensitive to certain stimuli—that regulate a number of body functions, including body temperature, thirst, hunger, water retention, blood pressure, respiration, reproduction, and emotional reactions. Situated at the base of the forebrain the hypothalamus receives input from virtually all other areas of the brain, including the limbic system, cerebral cortex, and the special senses that are controlled by the cranial nerves—smell, sight, touch, taste, and hearing. Because of its positioning the hypothalamus is able to influence, and be influenced by, emotions and thoughts. The hypothalamus also is located in an area of the brain that is poorly protected by the blood–brain barrier, so it is able to act as a sensor to various electrolytes, chemicals, and hormones that are in circulation and do not affect other areas of the brain.

    下丘脑具有多种神经中枢 – 对特定刺激特别敏感的区域 – 调节多种机体功能,包括体温、渴、饥饿、水份保持、血压、呼吸、生殖和情感反应。下丘脑位于前脑底部,接收来自大脑其他区域的输入信息,包括边缘系统、大脑皮质和脑神经控制的特殊感觉信息 – 嗅觉、视觉、触觉、味觉和听觉。由于下丘脑所处位置,它可以影响情感和思维,也可以受到情感和思维的影响。也因为下丘脑在大脑所处的位置,它受血脑屏障的保护欠佳,因此,可以充当处于循环中不影响大脑其他区域的电解质、化学物质及和激素的传感器。

    The hypothalamus maintains internal homeostasis by sensing blood chemistries and by stimulating or suppressing endocrine, autonomic, and CNS activity. In essence, it can turn the autonomic nervous system and its effects on or off. The hypothalamus also produces and secretes a number of releasing hormones or factors that stimulate the pituitary gland, which in turn stimulates or inhibits various endocrine glands throughout the body (Figure 718.1). These releasing hormones include growth hormone–releasing hormone, thyrotropin releasing hormone (TRH), gonadotropin-releasing hormone, corticotropin-releasing hormone, and prolactin-releasing hormone. The hypothalamus also produces two inhibiting factors that act as regulators to shut off the production of hormones when levels become too high: Growth hormone (GH) release–inhibiting factor (somatostatin) and prolactin (PRL)-inhibiting factor (PIF). Recent research has indicated that PIF may actually be dopamine, a neurotransmitter. Patients who are taking dopamine-blocking drugs often develop galactorrhea (inappropriate milk production) and breast enlargement, theoretically because PIF also is blocked and prolactin (PRL) levels continue to rise, stimulating breast tissue and milk production. Research is ongoing about the chemical structure of several of the releasing factors.

    下丘脑通过血流化学感知和刺激或抑制内分泌、自主和CNS活动维持内环境稳定。从本质上讲,它可以开、关自主神经系统及其效应。下丘脑还产生和分泌刺激垂体的释放激素或释放因子,转而刺激或抑制身体各种内分泌膛(图718.1)。这些释放激素包括生长素释放激素、促甲状腺激素释放激素(TRH)、促性腺素释放激素、促肾上腺皮质素释放激素和催乳素释放激素。下丘脑还产生两种抑制因子,作为调节器在激素水平过高时关闭激素生产:生长激素(GH)释放抑制因子(生长抑素)和催乳素(PRL)抑制因子(PIF)。最新研究表明,PIF很可能是事实上的多巴胺,一种神经递质。使用多巴胺阻滞药物的患者经常出现乳溢(不当泌乳)和乳房胀大,从理论上讲,这是因为PIF受阻而催乳素(PRL)水平继续升高,刺激乳腺组织和泌乳。对多种释放因子的化学结构的研究正在进行。


    FIGURE 718. The traditional endocrine system.
     
    The hypothalamus is connected to the pituitary gland by two networks: A vascular capillary network carries the hypothalamic-releasing factors directly into the anterior pituitary, and a neurological network delivers two other hypothalamic hormones— antidiuretic hormone (ADH) and oxytocin—to the posterior pituitary to be stored. These hormones are released as needed by the body when stimulated by the hypothalamus.

    下丘脑通过两处网络与垂体连接:血管毛细血管网直接携带下丘脑释放因子进入垂体前叶,神经网络输送其他两种下丘脑激素 – 抗利尿激素(ADH)和催产素 – 至垂体后叶存储。这些激素受下丘脑刺激,在必要时释放。
     



    hypothalamus – n. 下丘脑
    coordinate – v. 协调,整合
    input – n. 输入,输入信号
    master gland – 主腺,
    neurocenter – n. 神经中枢
    forebrain – n. 前脑
    limbic – a. 边的,缘的
    limbic system – 边缘系统
    cerebral cortex – 大脑皮质
    cranial nerve – 脑神经
    essence – n. 本质,精华
    in essence – 大体上,本质上
    releasing hormones – 释放激素,释素
    releasing factors – 释放因子
    growth hormone–releasing hormone – 生长(激)素释放激素
    thyrotropin releasing hormone (TRH) – 促甲状腺素释放激素
    gonadotropin-releasing hormone – 促性腺素释放激素
    corticotropin-releasing hormone – 促肾上腺皮质素释放素
    prolactin-releasing hormone – 催乳素释放激素
    growth hormone (GH) – 生长激素
    growth hormone (GH) release–inhibiting factor -- 生长激素释放抑制因子
    somatostatin – n. 生长抑素
    prolactin – n. 催乳素
    prolactin-inhibiting factor (PIF) –催乳素抑制因子
    PIF – prolactin-inhibiting factor催乳素抑制因子
    galactorrhea – n. 乳溢
    breast enlargement – 乳房胀大,隆胸
    capillary network – 毛细血管网
    hypothalamic-releasing factors – 下丘脑释放因子
    anterior pituitary – 垂体前叶
    antidiuretic hormone (ADH) – 抗利尿激素
    oxytocin – n. 催产素
    posterior pituitary – 垂体后叶
     

      
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    Endocrine System
     
     


     
    1. Where are the major endocrine glands located?
    A. In the head, shoulders, knees, and toes
    B. In the abdomen, joints, brain, and spinal column
    C. In the brain, neck, abdomen, and groin
    D. In the gall bladder, appendix, tonsils, and spleen
    2. Which gland is sometimes called “master gland”, though it is only about the size of a pea?
    A. Pituitary
    B. Adrenal
    C. Pineal
    D. Hypothalamus
    3. The part of the brain that links the nervous system and the endocrine system is
    A. Pancreas
    B. Hypothalamus
    C. Pituitary gland
    D. Pineal gland
    4. The process by which an organism’s internal environment is kept stable in spite of changes in the external environment is referred to as
    A. Positive Feedback
    B. Negative Feedback
    C. Homeostasis
    D. Targeted Cells

     
    答案 Answers
     
    1. C; 2. A; 3. B; 4. C.
     

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