Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=Salivary Digestion.=--Although most of the digestive organs are
situated in the abdomen, the food enters the body through the mouth,
where its prehension is a voluntary act. Here digestion also begins and
from the first the process is a double one, mechanical and chemical,
mechanical digestion consisting largely of muscular movements by which
the food is ground up and carried through the digestive tract. Thorough
mastication or grinding of the food by the teeth is necessary, while
the tongue assists by moving the food about and by mixing it thoroughly
with the _saliva_, a viscid fluid composed of water and salts and
having a slightly alkaline reaction. The saliva is secreted by the
parotid, sublingual, and submaxillary glands, and serves to soften and
dissolve the food and by virtue of its unorganized ferment, _ptyalin_,
to convert starch into sugar. Upon proteins and fats it has practically
no digestive action. Moderate warmth and an alkaline medium favor its
action, while extremes of heat or cold or an acid medium hinder it.
There is little absorption in the mouth, though starch, nicotine, and
alcohol may be absorbed in small quantities.
=The Pharynx.=--When the food is ready for deglutition or
swallowing, it is thrust back into the pharynx, a somewhat conical,
musculo-membranous sac, situated, base upward, behind the nose and
mouth and behind, but somewhat above, the larynx. The pharynx is about
four and a half inches long and ends on a level with the cricoid
cartilage in the esophagus or gullet. It is attached to the vertebræ
at the back and opens in front into the mouth. The posterior nares,
the Eustachian tubes, and the larynx also open into it, the last being
protected by the _epiglottis_, which closes during deglutition to
prevent food from entering the air passages, just as the soft palate
is drawn back to prevent regurgitation of food into the nose. There
are three coats to the pharynx: 1. a mucous coat continuous with that
of the mouth and ciliated down to the floor of the nares; 2. a fibrous
coat, and 3. a muscular coat containing among others the constrictor
muscles which serve to carry the food down to the esophagus. Its
arteries are branches of the external carotid and its nerves come from
the spinal accessory and the sympathetic. Occasionally a _foreign
body_ gets lodged in the pharynx just out of reach of the finger and
threatens strangulation. _Retropharyngeal abscess_ on the posterior
wall occurs rarely.
[Illustration: FIG. 53.--Position of the thoracic and abdominal
organs, front view. (Morrow.)]
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