2 курс / Нормальная физиология / Физиология_пищеварения_и_рациональное_питание_Московченко_О_Н_
.pdf
|
|
|
|
|
|
|
) ! 5.1 |
7!" ; " + ' * ' 0. 0 8 |
|||||||
|
|
|
|
|
|||
|
|
. 1 ( *' '+ |
|
||||
1' (0 |
5 (0 |
|
4 & (0 |
||||
'%"( 1 0 |
|
'%"( 1 0 |
|
|
'%"( 1 0 |
||
(" ' * 1 ( |
1' |
|
0 & ( '% '+: |
||||
$'! |
*- |
|
|
|
|
|
6 ", 0 1 (, 0- |
' 6$'+ |
|
|
|
|
|
|
1, 1 *(, 6 ' ' |
|
|
|
|
|
|
|
. . |
1, ( |
1, ! + |
|
! 4' " ( - |
||||
55 % $' ', |
%, 1 * (% |
|
! 0' (" 10 %), |
||||
+53 |
|
' 1 #& ' 0 |
%- |
|
1 , * 1, |
||
|
|
5) |
|
|
|
% + 1 * |
|
1 (, +- |
' ! 4' |
|
' '1', " (, '- |
||||
(, 0 &1 !( ' |
|
|
|
|
|
$' |
|
1 &1 !( |
|
|
|
|
|
|
|
* ( |
|
|
|
|
|
|
|
' !(, |
(- |
, '"(, 6', !- |
|
', 6, |
|||
+ |
|
' |
|
|
|
*& ' (5 07 |
|
! + 0 1 |
|
|
$'! ( |
' |
|
|
|
|
|
' ( 0- |
|
|
|||
|
|
, |
! |
' |
( |
|
|
|
|
$' # |
" |
|
|
||
|
|
60 % |
|
|
|
|
|
. 0 '# ; +, 1 *' ' 81 0' 8 '# ' * % 1 1 % !(0 # +0, 1 ' ! 0 '%'& 1' "-
(0, ! 0 &' #4'0 ! ' 5, ! -
' 5 ' ' 5 ' ' * )'0 1 1'-'" % " !- '+.
181
" ' 4 *''"-
'1 *' '+ * *- * 0 1 !' % " 0 '1- 1'5 ! & .' '0. -
'' ! + 0
*'4', 8 1 '! ' *- % ! '+ '%0 0 * +0 # !+% '& 1'0' "-
+0' & ! 1. '0,
** 5 1 !'. + 0-
5 + ' '00 5 ' *'4 ! ' 5 ' 0 & ! 1 $ * " +
* 1 (, ! ! #4' ** 1 !'. 1 #& ' '% 3' ! 4 !, !0 '0(6 1 ! #, 0 ) % ) 1 ! '%0, &) " ! '6
!, * " ! * 6 '#. . " ' $ "&$ -
(6" * 1 ! * '! ' 1 % ) 1 ! ' '%- 0 ' "( 0 $' !(6 $'5.
, ** 1 !' 0 (1) – («0+) – 8 ! 5) + *- * 1 !', 1 5 ! * 3 8! #3'' * '% ) ' !
(. ! (0' & 0' '* +! +# + ' ! ', 0 & , 1 "( ' 0.
! + ! 0 33,5 45 % '+ 0 ' (0 '1 3( – 45,0, %' ( – 44,0, 3 %( – 43,0, 0- 3( – 40,0, +* 3( – 41,0, 1' 53( – 33,0 %). # 5
5 ** 5 1 !' ' + '00 + ' 0; 1 *1 + *'4 ! ' + ' 0; 8 1 '! (5 0 " '%0 ! -
6 ' 1 +6; |
* " |
6 + |
" ' !- |
' !. |
* ' 8 |
0 0 & # |
+ ' ! |
* 3'' 1 !(0 !'+0 *' '+ ' !$'0 * 1- 0; '00 + ' 0 ' ')1 0 1 '! ' 5 -
182
! * '! 0 '%0, & 0$ * +! + + -
'& 1'0' 13'+0'.
, ** 1 !' (II) – «! ' 3». 9 '* ! % '1 * ' * 6 ! 5) 1 & ! ' + $'% ' 6 - '1 1 " 0 0. ; 1 (0' & 0'
|
'* +! +# + * + !, , 6 ) + |
||
* 3'+ 1 " ! 1 1 '!, |
% ! 1'6 # 5 |
||
% !' ' |
" ! '! 5 ! 5 ' 0( ( ). |
||
! + |
! 0 30 45 % |
'+ 0 ' |
|
(0 '1 3( – 35,0, %' ( – |
36,0, |
3 %( – 45,0, |
03( – 44,0, +* 3( – 38,0, 1' 53( – 30,0 %). # 5
5 ** 5 1 !' 6 ) + * 3'+ 1 '%0 '# ' ( ' 1$#4 5 (; 8 1 '! ( '00 + ' *'4 ! ' + ' 0( * ' " # '' ! '- 1 5 ' ( ' " ' ! ' ; & ! !' (5
*'4 ! ' (5 1 ; '00 + ' 0 * !$
' 13'+0.
, ** 1 !' (III) – «1 », «0» 9 '* ! %- '1 ! % 0' 3'' . 9 " ' ! (5, - %' (5, '"1'5 '*, '0 6 )'5 !1 ' *'4 !- ' # ' 0, * ' ! 1 + 0 *' - '#. ! + ! 0 9,0 22,0 % '+
0 ' (0 '1 3( – 15,0, %' ( – 15,0, 3 %( – 9,0, 03( – 11,0, +* 3( – 22,0, 1' 53( – 29,0 %). # 5
5 ** 5 1 !' ' + '00 + ' 0, '"1 + ' 0 * 3'' 1 '%0 '+0 ' ( ' !'+0 1- $#4 5 (; " ' ! + ! + ' 0
, ** 1 !' (IV) – «! + (». 9 '* 1 !' ! % '1 ! % 8! #3'' * ' '+ '' ! 6 * '!- *$(6 '* ! – ' , ! , ' ' 1- & ! " '6 **. ,'"1 +, & & ! !' + '00- + ' 0; & * # ( ** ' . ! + !
0 3,0 9,0 % '+ 0 ' (0 '1 3( – 5,0, %' ( – 5,0, 3 %( – 3,0, 03( – 5,0, +* 3( –
183
9,0, 1' 53( – 8,0 %). 0 + 0 + ** 1 !'; '"- 1 +, & & ! !' + '00 + ' 0. :# '
5 ** 5 1 !' & # ! * # ( '* ! ' .
%
, ** 1 !' ' !(" ' '!' 5 ' ( % !' '
1 ' !, '0 #4'6 0 "4 ' 0'. ' " # ' 5 * 3' '& #, * 8 0 * "- ( 1 '! 1 8 ' 3' (, ' '0 3' (, '" * (, * 0 % ' (, " 1 '', $$!( 1 - 1' ! 0 ( 0"(. + 8 '6 * ! 6 '
$( * ' ! ! ! ! #4' ' (. 0 '1 1' * ( .' ’ 0 ' 8 '
' ' &' # , & " + + *'4 !(6 1 ' ! $ , 1 1 1 ! 1 ! '6 * * ! ') 5 %. : 1 ' ( *- % +# + *& (1 ( * +0 # 1-
' # ** 5 1 !' ' 6 1 '% # '* *' '+),
"& 3 (1 (6 '%" ) ' 9 "!%.
+ 0 5 + ' '00 5 ' *'4 ! ' - 5 ' 0 & ! 1 $ * " + ! " ) 5 *- ' « $ ! (» ' «5 (» * 1 (, ! -! #4' ** 1 !'. 9 0 ) % ) 1 !
'%0, &) " ! '6 !, 1- * '! 1 ' !, * " ! 1! 0 *' '#.
. " ' $ «!$" (6» * 1 ! * '! ' 1 %- ) 1 ! ' '%0, "( 0 $' !(6 -$'5 ' 6 ' !(6 " +) 1.
:# ' 0 (1) ** 5 1 !' " ! ( 1 !$ ' ' *' ' *'4 !(6 * 1 !, * +! +# * '!-
'! ' ! , $ + + 1 % 1- 0(0 " # 0. .* &' # * (, '%( 1 ( " #-. 6 3' *' '+ $ !* $ ! (- 0' ' ' 5 (0' 1 ' 0', % &' "( " (0 " 1 0' $'! * ' 6$'+.
184
) $ : 0+ #", 1 0 $'-
5 !' ' ( ' + ' (. * 1 (: &, 0 1 5
" ) 1, 0, ! ', 1 0, 1 ", 1 ! 1', 0'- '', 1 & 5, '3(, & * 6 0 1 +. (": ", 1 0", 1 *, 1 #)1, !(, 1, 7 , * , *'1), ', ', , , 1 0" '+, 1, - 3, , 4 1.
. 1 (, 1 ( 6 ) ! '! # + % &7 *- !() 5 1' ' ! $1: $' ( 0+: " ', !+ ', ', 1, + ', ' 51, 1- '3, 3(* 7 1, * &, 3. (": ! !(, ', &', 7 , 1, 4 1. =' (: 0 '! &, '!1- !, +, 1$ . & ( * 1 (: ( - 0 ) '5, 0 33, (, " ( % ('% 0 1 !3( ' ' 1- %(). ! 4': 1 * " 11 ', 1 "', ' ! +, 0 '- ( % 7 (, 0 1 !, 3(, 0 (, * 3 1 (5,
1, !71, & 1, (1!, ! + % ' * + '. - 1', 1 *(, 0 & ( '% '+: &1, *, ' ) ' !- (5, +&0. " !(: ! !' ( " " !, 6, . - & ( * 1 (: ! 0 1, !(5 (, !(5 !-
( ). 1 ( ' + (: " '1 (, (, " %(, " (, !', , 5* (, )', ( +, '- $', 1'!', * '1', 0, +" 1', '!(, ' '1', 6 0, & '!, 1 ', * * 5+, !') +, " '1, "'1, '%#0, 1 #1!, 1 + ' &7 + 0 ', 1 ($! '1, & '1. 6': 31', 0', 1 !(, (1! ( 0 &1'.
, # «#» .
+: !' ', + ', " 1, 1 1 (! &'). (" ' 0 * 1 (: '1, '1 ! + (&7 +), (" 1 *&7- + ' 7 +, 0 # 1', 0'. =' (: 0 6'- !, 1 1 %, * &. & ( * 1 (: ( $' (6 !, * ! (5, * 0 %, , &, 8 0, )! 53 1'5, ! * ! (5, 5 , 1 ', 0-
185
1, 0$ , * 6 . ! 4': 1 , 1 * " 1- & +, " # 1 +, 1 1 & +, 0 ' ( &7 (, * 3 &7 (5, 1 & *. 1', 1 *(, 0 & ( '% '+: 1- 1 % ( 0 1 ' 6 * +, *) '3 (* )' %7). % " " !(6 ! !' ( & & !'3(. 1 ( ' + (: 1 1, 0-
' (, !, $!'1, % 0 + '1. , *' - $4' *' 1', & 5 &7 (5.
) 0) (2) – ! ' 3(
& ! !' (0 *'4 ! ' (0 1 0. 0 " + 81 '& 1' &' + + *'4. ' * ' # " ) % & ' ! ) 0 !' *'4' ' '#.
0 3 + $1 # 0. * '! '!(. % '6 3' $ ' 1 #&' 0+. ' ! - '%0 "6 '1 !" 0+ $' + * " * '!, "% 0 3 !" * ! 4 + ! $'. " # ! '- &1, + * # *'4. $ * 6 ! '! + 0 & + *'4.
) $ : + ' 51' ' 1 '3(.
(": ! !(, 1 *, 1 #)1, 1 ( *- (5), ', ', 1 0" '+, 1, 3, 7 , 4 1,
. * 1 (: ! ', ' 1' < " (. =' (: 0 '!1 !, +, * !. & (
* 1 (: 5 , 1 ', 0 1 1 %, !, ( - 0 ) '5, * ! (5, 0 3, (, " ( % ('% 0 1 !3( ' ' 1 %(). ! 4': 1 * " 11 ', " # 1 +, 1 "', ' ! +, 1 1 %, 0 ' ( % 7 (, 0 1 !,
3(, 1, !71, & 1, (1!, ! + % ' * +-'. % 1', 1 *(, 0 & ( '% '+: &1, *, ' ) ' ! (5, +&0. " !(: ! !' ( " " !, 6,
. & ( * 1 (: ! 0 1, !(5 (,
!(5 ! ( ). 1 ( ' + (: " '1 (, (, " %(, " (, !', , 5* (, )', (- +, '$', 1'!', * '1', 0, +" 1', '!(, ' '1', 6 0, & '!, 1 ', * * 5+, !') +, " '1, -
186
"'1, '%#0, 1 #1!, 1 + ' &7 + 0 ', 1 (- $! '1, & '1. 6': 31', 0', 1 !(, (1- ! ( 0 &1'.
, # «#» .
+: ! !' ( 0+, 1 0 ' 51' ' 1 '3(, " 1, 1- 1 (! &'). (" ' 0 * 1 (: (" 1 *&7 + ' - 7 +, ", 1 0", * , *'1), , , '1, '1 ! + (&7 +), &, 0 1 5 " ) 1, 1- 0, 1 ", 1 ! 1', 0 # 1', 1 & 5, 0' '', 0'-
, 0, '3(, 0 1 + & * 6. =' (: 0 6'- !, 1 1 %, * &. ! 4': 1 , 1- * " 1 & +, 1 1 & +, " 1$(, 0 ' ( &7 (, * 3 1 (5 ' &7 (5, 0 (, 1 & *. &- ( * 1 (: 0 '! &, 0 1 (1 0 1 %), ( $' (6 !, * 0 %, , &, 8 0, )! 5- 3 1'5, ! * ! (5. 1', 1 *(, 0 & ( '%-
'+: *) '3 (* )' %7), "'. 1 ( ' +- (: * ' (, 1 1, 0 ' (, " (, !, 0, * * 5+. *' $4' *' 1', *'!, & 5 &7 (5.
" ' **( 1 !' (3) «1 & ! '1'». 0- 0 + ' 0 '6 6 ) +, ' !("' * 1 ( *'- '+ ' 0 " ! ", & 0 # ' ' *- * 0' 1 !'. 9 #"' ' 6 ) * , 0 (. . - + % '%( 1 (0' " # 0' 1 * '! ' 1 )- '# *' ". ' '0 # * (6 * * & '5 ! ' " % * 1' * " # ' + !- ) % 1 0( " #, * ' 8 0 &' +, & ' - ! ( * "' ' 0 1.
& , & 6 ' ' '0 * 0 6- ) ', 0 '& & ' '%'& 1 5 ' 0 ! 5 1 '! ' 1! (0 *' ' 0.
% ' ! ' *. + $' (6 !:
" ', !+ ', %, 1 & ', ', + '-, ' 51, 3. (": ! !(, ', &', 7 ,
187
1, 4 1, , ', *'1), * , 1, 1- #)1, 1 0", 1 *, . * 1 (: ! ', 0 1 5 " ) 1, '1, '1 ! +, 1 0. =' (: 0 '! &, '!1 !, +. & ( * 1- (: 5 , 1 ', 0 1, ! 0 1, !(5 (, ( 0 ) '5, * 0 %, , &, )! 53 1'5, 8 0, 0 3, (, " ( % ('% 0 1 !3( ' ' 1 %(). !- 4': " 1$(, " #1!, 1 * " 1 & +, " 11 ', 1 "', ' ! +, " # 1 +, 1 1 & +, 1 % 7 (5, *, 0 1 !, 3(, * 3 1 (5, (5, * 1, ! 1, & 1, (1!, 6, ! + % ' * +-
'. 1', 1 *(, 0 & ( '% '+: ! + ( 1 *, 0 1,
"', *, ' ) ' ! (5. " !(: ! !' ( "- " ! (1 0 &7 (6), 6, . 1 ( ' + (: " '- 1 (, (, * ' (, " %(, " (, !',
5* (, )', ( +, 0 ' (, '$', 1'!', *- '1', 0, +" 1', '!(, ' '1', * '1', & '!, 1 ', * * 5+, !') +, " '1, "'1, $!'1, '%#0, 1 #1!, 1 + ' &7 + 0 ', 0 ', 1 (- $! '1, & '1. 6', 1, *'!, & 5 % 7 (5 ' &7- (5, !' " ' 1.
*, &"( «"& 3» ! .
+: + ', 1 '3, !' ', 1 * 1, 3, "- 1, 1 1 (! &'). (" ' 0 * 1 (: &, "-
, 1 ", 1 ! 1', 1 * (5, (" 1 *&7 + '
7 +, 0 # 1', 0', 0' '', 1 & 5, ,
'3(.
=' (: 0 6' !, 1 1 %, 1$ !, * !, * &, 6 *1 !. & ( * 1 (: ( * ! (5, !(5 ! ( ), 0$ . ! 4': ! 1, ') 1, *' 0", 1 1 % " + ' $7 +,
0 ' ( % 7 ( ' &7 (, 1, 0 (, 1 & *, * 3 &7 (5 ' )' (5. & ( * 1 (: !(5 ! ( ), ( * ! (5. 1', 1 *(, 0 & ( '% '+:
188
&1, "', 1 1 % + 0 1, 1 1 % ( 6 * +, *)- '3 (* )' %7), +&0. 1 ( ' + (: 1 1, 6 0, , !. *' $4' *' 1'.
, ** 1 !' (4) – % 0 ) '+ ! 6 **
' . '6 %(! # "!( # '". :# ' & - ! 5 ** 5 1 !' "( ' # '%0 ' - 3' ! *' ''. '6 & ! !' (5 *'4 ! ' (5
1 ' + '00 + ' 0. 6 0 ' -, '% & * ' ! ( " #, ' * # + ! ( ' !. :#"+ , 1 ! %-
" % (0', 4 * ' ! (0' " # 0'.
) $ . +: " ', 1 &-
', ' 51, %, * &. (": ! !(, ', &', 7 , 1, 4 1, , ', 1 0 1 5, $7 (5, " ' (5, 1 #)1, 1 *, , % " 1.
* 1 (: ! ', 0 1 5 " ) 1, '1, 1- 0, 0' ''. =' (: 0 6' !, '!1 !, +, * !. & ( * 1 (: 5 , 1 ', 0 1 1- %, " %$', ! 0 1, !(5 (, ( , 0 ) '5, * ! (5, 0 3, , &, )! 5- 3 1'5, 8 0, " ( % ('% 0 1 !3( ' ' 1 %(), ! * ! (5. ! 4': " 1$(, " #1!, 1 , 1- * " 1 & +, " 11 ', 1 "', ' ! +, " #-
1 +, 1 1 & +, 1 % 7 (5, *, 0 1 !,
3(, * * '1, * 1, ! 1, & 1, 0 (, (1!, 6, ! + %, ' !( ' * + '. 1', 1 *(, 0 &- ( '% '+: ! + ( 1 *, 0 1, "', *, ' ) ' ! (5, *) '3, +&0. " !(: ! !' ( " " ! (1 0 &7 (6), 6, , ! !' ( & & !'3(. 1- ( ' + (: " '1 (, (, " %(, )', !',
5* (, ( +, 0 ' (, '$', 1'!', * '1', '- !(, +" 1', ' '1', & '!, 1 ', * * 5+, !') +, " '1, "'1, $!'1, % 0 + '1, '%#0, 1 #1!,
189
1 + ' &7 + 0 ', 0 ', 1 ($! '1, & '1.
6', 1, *'!, & 5 % 7 (5, !' " ' 1.
*, &"( «"& 3» ! .
+: !+ ', + ', 1 '3, !' ', ', +- ', 1 * 1, 1, 3, " 1, 1 1 (! &'). (- " ' 0 * 1 (: &, ", 1 ", 1 0", 1 ! - 1', 1 * (5, 7 +, (" 1 *&7 + ' - 7 +, 0 # 1', 0, 0', 1 & 5, , - '3(. =' (: 0 '! &, 1 1 %, 1$ , * &, 6 *1 !. & ( * 1 (: ( *- 0 %, 0$ , * 6 . ! 4': ! 1, ') 1, *'- 0", 1 1 % " + ' $7 +, 0 ' ( &7 (, 1, * 3 1 (5, (5, 0 (, 1 & *, 1 !' (5, +"- & (5. 1', 1 *(, 0 & ( '% '+: &1, "', 1 1 % + 0 1, 1 1 % ( 6 * +. 1 ( ' + (: * ' (, " (, 1 1, 6 0, 0, , !. *' $4' *' 1', & 5 &7 (5.
$(5 & ! 1 '0 ! ' ' '!' ( "-
'. .8 0 * ' * " * 1 ! *' '+, !(" ' ( * ** 1 !' &' (! 1 "4' 1 0 3'', ' ! # ' '!' , 0 *$'- ! '+, 3' ( '3'', 1 *' '+.
&' * 1 * ') ' 1 ' 0 0 '# 0, - 1 1 8 1 '! *' ' * ** 1 !', 6 + "- )' ! ' ! &' 8 '# 1 1 0' '0 0 '0 #4 5 * ! 4 ! ! '. :# +0, #4'0
1 1'0'-'" 6 '& 1'0' % " ! '+0', *' ' *
** 1 !' * '0 + & $ , "+% -* 1 ' ! + ! & 0.
&' (! +, & * 5 ' 0 *' '+ 0 &- (6 ' ! '5, * ! (5 0 ' ' " "- 4 #4'5 6 1 ' * ! 0 " % ! ' * !- * 0 3' *' '+.
190