1、Chapter 16Endocrine Systemchapter16內分泌系統課件Chapter 16Endocrine SystemchapSample of endocrine test resultschapter16內分泌系統課件Sample of endocrine test resulWhat are they?chapter16內分泌系統課件What are they?chapter16內分泌系統課件Pituitary gland/hypophysisAdenohypophysis腺垂體前葉neurohypophysis垂體神經部,神經(性)垂體(垂體后葉)chapter16內

2、分泌系統課件Pituitary gland/hypophysisAdenHormones secreted by hypophysisGH/somatotropin生長激素Prolactin/lactogenic hormone催乳素Thyrotropin/thyroid-stimulating hormone促甲狀腺激素ACTH(=adrenocorticotropic hormone) /adrenocorticotropin/corticotropin促腎上腺皮質激素chapter16內分泌系統課件Hormones secreted by hypophysiHormones secret

3、ed by hypophysisGonadotropic hormones促性腺激素FSH=follicle-stimulating hormone促卵泡激素ICSH=interstitial cell-stimulating hormone/luteinizing hormone促間質細胞激素,促黃體激素MSH/melanotrophin=melanocyte-stimulating hormone促黑色素細胞激素Vasopressin/ADH=antidiuretic hormone后葉加壓素,抗利尿激素oxytocin(后葉)催產素,縮宮素chapter16內分泌系統課件Hormones

4、 secreted by hypophysiHormone secreted by pineal bodymelatonin退黑激素chapter16內分泌系統課件Hormone secreted by pineal bodHormones secreted by thyroid glandThyroxine甲狀腺素Tetraiodothyronine (T4)四碘甲腺原氨酸Triiodothyronine (T3)三碘甲腺原氨酸Protein-bound iodine (PBI)calcitonin降血鈣素(一種調節血中含鈣量之荷爾蒙)chapter16內分泌系統課件Hormones sec

5、reted by thyroid gHormones secreted by parathyroid glandsParathyroid hormone or parathormone甲狀旁腺激素chapter16內分泌系統課件Hormones secreted by parathyroHormones secreted by adrenal glands (I)Corticosteroids = adrenocortical hormones腎上腺皮質激素Mineralocorticoids礦質(腎上腺)皮質激素Aldosterone醛固酮Glucocorticoids糖皮質激素Cortis

6、ol考的松,皮質醇corticosterone腎上腺酮; 皮質脂酮Sex hormonesAndrogenEstrogenchapter16內分泌系統課件Hormones secreted by adrenal gHormones secreted by adrenal glands (II)adrenal medullary hormone Catecholamines兒茶酚胺Epinephrine=adrenaline腎上腺素norepinephrine去甲腎上腺素chapter16內分泌系統課件Hormones secreted by adrenal gHormones secreted

7、 by pancreasGlucagon胰高血糖素(alpha cells)Insulin (beta cells)chapter16內分泌系統課件Hormones secreted by pancreasGOther endocrine glandsPartsHormonesFunctionsthymusthymosinDevelopment of immune systemstomachgastrinDigestion of foodplacentachorionic gonadotropin(HCG)Ovary to maintain the uterine liningpregnanc

8、ysmall intestinesecretin腸促胰液素cholecystokinin縮膽囊素Pancreas to produce bicarbonateGallbladder to contractheart (atria)atriopeptin心房肽 chapter16內分泌系統課件Other endocrine glandsPartsHorWhat hormone has this function?Regulating the biological clock of the bodymelatoninchapter16內分泌系統課件What hormone has this fun

9、ctionWhat hormone has this function?Regulating the activities of several other endocrine glands such as thyroid, adrenals, reproductive glandsAnterior pituitary hormoneschapter16內分泌系統課件What hormone has this functionWhat hormone has this function?regulating the rate of metabolismThyroxineParathormone

10、corticosteroidschapter16內分泌系統課件What hormone has this functionWhat hormone has this function?Decreasing the concentration of calcium in the bloodcalcitonin降血鈣素chapter16內分泌系統課件What hormone has this functionWhat hormone has this function?Decreasing the concentration of glucose in the bloodinsulinchapte

11、r16內分泌系統課件What hormone has this functionWhat hormone has this function?Regulating the development of secondary sex characteristicsAndrogenEstrogenchapter16內分泌系統課件What hormone has this functionWhich endocrine gland is responsible for?Diabetes insipidus尿崩癥Addisons diseaseDwarfismPheochromocytoma嗜鉻細胞瘤

12、Diabetesmyxedema黏液腺瘤virilism男性化hypercalcemia高鈣血癥Pituitary glandAdrenal glandPituitary glandAdrenal glandPancreasThyroid glandGonadsParathyroid glandschapter16內分泌系統課件Which endocrine gland is respoTests for endocrine systemRAIU放射性碘攝取Radioactive iodine uptake testITT胰島素耐量試驗insulin tolerance testTBG甲狀腺素

13、結合球蛋白Thyroxine-binding globulinACTH test促腎上腺皮質激素試驗LH test促黃體激素試驗Luteinizing hormone testAldosterone and renin test醛固酮腎素試驗chapter16內分泌系統課件Tests for endocrine systemRAIUTranslate the following case presentation into ChineseA 47-year-old woman was admitted to the hospital because of recurrent hypercalc

14、emia.The patient had been admitted 14 years earlier because of hyperparathyroidism, with an increased level of calcium (12.3 mg per deciliter 3.1 mmol per liter), markedly increased levels of alkaline phosphatase and parathyroid hormone (293 pg per milliliter; normal range, 10 to 60), and a low phos

15、phorus level (1.8 mg per deciliter 0.58 mmol per liter). Physical examination revealed a nodule in the left lower pole of the thyroid gland. chapter16內分泌系統課件Translate the following case pTranslate the following case presentation into ChineseA 64-year-old man was admitted to the hospital because of h

16、yperadrenocorticism. The patient had a history of angina pectoris and had undergone five-vessel coronary-artery bypass surgery nine years before admission. He had long-standing heartburn, and for two years had had intermittent upper abdominal pain that responded to ranitidine. The results of upper gastrointestinal endoscopy were normal. Six months before admission, he began to bruise easily; weakness, emotional lability, moon facies, and peripheral edema developed; and his weight increased by 5 kg. Three months before admission, a tremor developed in his hands. One mont