人體的奧秘 - 想減肥點可以唔知

一連鳩頂

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一連鳩頂 2018-06-10 14:06:09
目錄

(1)基本既心臟介紹
lihkg.com/thread/649350

(2)基本既肺部介紹
lihkg.com/thread/652225

(3)基本既腎臟介紹
lihkg.com/thread/665504

(4)基本既胃部介紹
lihkg.com/thread/673704

(5)基本既小腸介紹
lihkg.com/thread/685309

(6)基本既大腸介紹
lihkg.com/thread/690908

建議由第一期開始慢慢睇
想睇最新目錄請自行起底去最新個post
歡迎留言  一齊討論  你問我唔一定會答
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When we talk about the digestive system, we always think of organs like intestine and stomach. Would anyone shout out 'LIVER' ? 

當有人叫你舉一個關於消化系統既器官既時候,你會舉邊一個器官呢? 小腸? 胃? 又有冇人真係會講「肝」呢? 

After all the digestion, where are the nutrients go, straightly to the tissue? It turns out that all the nutrients need to go through the liver first, and then goes to the tissue. 

當一舊食物完成左成個消化作用,成為左我地要用既營養既時候,係咪就直接通過血管比我地既身體每一個細胞用呢? 睇落好合理,但如果我地食太多或者太少呢? 咁咪GG… 所以呢,我地就需要一個器官去管理我地既營養,依個器官就叫做肝臟 (liver),所有既營養都要通過肝,下一站先至係身體既每一粒細胞。

Liver is like a storehouse. It acts as a storage room for excess nutrients and secretes bile in terms of digestive functions. But there are way way more functions of our body related to the liver. It is estimated to be around 500. WTF

肝就好似一個糧倉。佢係消化系統主要既作用係儲存多餘營養同埋製造膽汁。不過你要知道,肝除左參與消化之外,重有好多好多好多既作用 (即使係消化系統其實都唔止兩種),教科書估計有成500幾種,好撚痴線。

Let's look into this fasinating organ~

所以一齊黎見下依舊咁犀非利既肝啦~

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Anatomy first. Liver can be divided into two lobes. 

睇左解剖結構先。肝主要可以分做兩個葉 (lobe)。

The right bigger lobe and the left smaller lobe, seperated by falciform ligament. 

左邊個葉細D,右邊個葉大D,由鐮狀韌帶 (falciform ligament) 係兩者之間分開。

If we look at the liver from the back, there's more. 

睇埋肝既背面,D野多好多。

As the figure shown, there are 5 important components of the liver, they are inferior vena cava, hepatic artery, hepatic portal vein, bile duct and gallbladder. 

係張圖到睇到,肝後面有五舊幾特別既零件,分別係下腔靜脈 (inferior vena cava)、肝動脈 (hepatic artery)、肝門靜脈 (hepatic portal vein)、膽管 (bile duct) 同埋膽囊 (gallbladder)。

Inferior vena cava carries oxygen-poor blood from the liver to the heart. 

下腔靜脈帶缺氧既血由肝去心臟。

Hepatic artery carries oxygen-rich blood from the heart to the liver. 

肝動脈帶富氧既血由心臟去肝。

Gallbladder stores bile. 

膽囊儲存膽汁。

Hepatic portal vein carries nutrient-rich blood from the whole gastrointestinal (GI) tract to the liver. 

肝門靜脈將成個胃腸道 (GI tract) 富營養既血帶去肝。肛門? 肝門? 

Bile duct carries bile from the liver to the duodenum. 

膽管帶膽汁由肝去十二指腸。
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Look into the liver, the basic unit of the liver is called the hepatic lobule. 

再睇入D,肝既基本組成部分叫肝小葉 (hepatic lobule)。

Basically, a hepatic lobule is in hexagonal shape (more efficient like the honeycomb). 

正常黎講呢,一個肝小葉係呈六邊形既,就好似蜂巢咁。

At half of the vertex, there is a portal triad, containing hepatic portal vein, hepatic artery and bile duct. 

係每一個肝小葉一半以上既頂 (vertex) 到,都有門三管 (portal triad),而三管分別就係肝門靜脈、肝動脈同埋膽管。

Oxygen-nutrient-rich blood floats out from the hepatic portal vein and the hepatic artery into central vein and finally goes to the inferior vena cava. 

肝門靜脈富營養既血,加埋肝動脈既富氧既血,混合埋一齊入流向中央靜脈 (central vein) 集合,再去下腔靜脈。

During the delivery, the blood goes through sinusoid capillaries, nutrients and oxygen diffuse into the hepatocytes. 

當血由門三管流向中央靜脈既時候呢,會經過d竇狀毛細血管 (sinusoid capillary),至於咩係竇狀毛細血管,有機會再講啦,總之係一種毛細血管,依D竇狀毛細血管附近有好多肝細胞 (hepatocyte),氧同營養都會由竇狀毛細血管滲透入去肝細胞。

Bile secreted by the hepatocytes goes into the bile duct. 

而肝細胞就會製造膽汁,流入膽管,依個就係外分泌作用 (exocrine)。
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一連鳩頂 2018-06-10 14:09:08
Talking about bile, let's look into the delivery system of bile. It's called the biliary tree. 

都講到膽汁,順便講埋膽汁既運輸系統,個系統叫膽道樹 (biliary tree)。

(1) All the bile secreted by hepatic lobules goes into bile ducts and finally goes into the common hepatic duct. 

(2) Then, bile goes through the cystic duct and stores in the gallbladder. 

(3) Once the signal comes, the gallbladder squeezes out the bile. 

(4) The bile goes through cystic duct again and goes into the common bile duct. 

(5) Bile and pancreatic juice mix in the ampulla of Vater and goes into the duodenum through duodenal major papilla. 

(Ampulla means bottle, it's a little bottle shaped tissue before entering the duodenum) 

(一) 製造左出黎膽汁經過膽管集合到總肝管 (common hepatic duct)。

(二) 跟住,膽汁經過膽囊管 (cystic duct) 進入膽囊並儲存。

(三) 當有訊號到達,膽囊收縮再必D膽汁出去。

(四) 膽汁又再經過膽囊管去到總膽管 (common bile duct)。

(五) 膽汁同胰汁 (pancreatic juice) 係華特氏壺腹 (ampulla of Vater) 到混合,再經過十二指腸大乳頭 (duodenal major papilla) 進入十二指腸。
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Take a look into those nutrients from hepatic portal vein (GI tract), in excess. 

(These nutrients have many roles in the liver, but that's way too complicated, I'll just talk about how the liver stores excess nutrients in this articles)

講完膽汁,講下個肝點儲存從消化系統黎既多餘營養。(記得,儲存只係最後一步,係儲存之前D營養可以做到好多野,篇幅所限,冇辦法講太多,所以依到只會講個肝點儲存多餘既營養) 

For monosaccharides, amino acids and nuclecic acids, they are converted into glycogen (or polysaccharide) and stored. 

單醣 (monosaccharides)、胺基酸 (amino acids)、核酸 (nuclecic acids)依三樣呢就會轉成醣原glycogen (或者叫多醣polysaccharide) 儲存低。

For lipids, as I've mentioned in the 'small intestine' acticle, lipids is the only nutrient that is not going through the hepatic portal vein but going through lacteal (lymphatic capillary) in the form of chylomicrons. And these chylomicrons will be processed during the journey of the blood stream (lymph will eventrally goes back to the blood stream) and become chylomicron remnants. These chylomicron remnants finally go back to the liver and stored as very-low-density-lipoprotein (VLDL). 

而脂類呢,我曾經係「基本既小腸介紹」一文講過,脂類營養係唯一一種營養唔係經由正常管道,即係肝門靜脈,進入我地既肝既,而係化身成乳糜微粒 (chylomicron) ,透過淋巴系統 (lymphatic system) 進入血液,係血液入面經過一D處理,變成乳糜微粒殘留物 (chylomicron remnant),先至入番我地既肝。我地既肝再對乳糜微粒殘留物進行加工,以極低密度脂蛋白 (VLDL) 既形式儲存低。(順帶一提,乳糜微粒又叫超低密度脂蛋白ultra-low-density-lipoprotein ULDL,中文名真係好on9)

When there are excess glycogens, they will also be converted into VLDL. 

重有,當肝入面既醣原都太多既時候,佢地都會被個肝轉化成極低密度脂蛋白 (VLDL) 去儲存。

If there are excess VLDLs in the liver, these excess fat will be stored in the adipose cells instead. 

可能你又會問,咁如果極低密度脂蛋白 (VLDL) 都太多呢? 咁就會再送去脂肪細胞 (adipose cell) 啦,姐係令你變肥。
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Base on this, we can estimate that the preference from high to low for the sequence of energy sources used by our body is in the following, 

(1) blood glucose

(2) glycogen

(3) VLDL and adipose tissue

我地身體會根據難易程度去用儲存低既營養,所以呢,由此我地可以知道,身體入面既營養會根據以下既順序去使用 (越前越容易用)。

(一) 血糖

(二) 醣原

(三) 極低密度脂蛋白 (VLDL)、脂肪

所以減肥先咁辛苦啊,多謝我地既基因啦 點解話想減肥要食小d飯 ,多d蛋白質,運動時間要長d,基本上就係base on肝依個功能而建議既。
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This is a little bit of the liver introduction. I hope you will have a brief appreciation on the liver. 

依篇只係一篇好簡短關於肝既介紹,希望可以令你對肝有多小小了解。
阿飛正傳 2018-06-10 14:11:13
學術post
真.育成 2018-06-10 14:12:32
關於自己身體嘅post就無人理
啲濕鳩j圖就千幾個like
練霓裳 2018-06-10 14:14:38
高質post幫推
Hackermann 2018-06-10 14:17:56
Wowfantasticbaby 2018-06-10 14:19:32
說好的減肥?
Escobar 2018-06-10 14:21:59
餓下就會減
一連鳩頂 2018-06-10 14:28:00
連登嘛

不意外

唔緊啦 比有心學既人睇就夠啦
Escobar 2018-06-10 14:31:14
一連鳩頂 2018-06-10 14:33:15
釣下魚,講下原理姐

出面大把文章講減肥啦

介紹一篇比你 當延伸閱讀 依篇真係講減肥
http://www.weightlossforall.com/energy-stores-lose-weight.htm
屎忽比你痕 2018-06-10 15:01:25
學術post正呀
白色的傳說 2018-06-10 15:12:31
lm
蜜糖紅棗茶 2018-06-10 18:42:31
一連鳩頂 2018-06-10 20:20:08
睇完麥兜
有時覺得child 重好過li
高級青頭仔 2018-06-10 20:48:31
繼續
DWDM 2018-06-24 17:44:35
push
RanceX 2018-06-24 22:07:37
想減肥點可以唔知

其實根本唔關事
減肥最重要係 Thermodynamics (Law of Energy, Energy intake, consumption, BMR, calories)
其次macro-nutrients 要知少少
人體結構知黎都無咩大幫助

反而對long-term general health比較有幫助
樓主自己寫?
還是齋翻譯? (要落credit)

anyway 都算有心人 多謝先
KMeansClustering 2018-06-24 22:24:55
留名
一連鳩頂 2018-06-24 23:29:33
credit番先 一言九鼎寫 一連鳩頂翻譯
都係個句
釣下魚姐
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