This lecture provides a clear and systematic breakdown of the autonomic nervous system's dualistic nature, making it a solid resource for medical students. It effectively bridges the gap between anatomical structure and physiological function through rigorous academic exposition.
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Nervous System-Autonomic Nervous System追加:
We are going to learn about the autonomic nervous system today so just to recap what we have learned earlier let's review the entire nervous system before we end the lecture with the autonomic nervous system so this we have done this slide many many times I'm going to give you it again so there are several sensory receptors that come from skin that come from your tongue there are receptors on the skeletal muscle there are receptors on your reproductive digestive systems all these receptors various kinds of receptors that that are called sensory receptors fast through the peripheral nervous system which is the spinal nerves and the cranial nerves considered to be the peripheral nervous system take information through the afferent root sensory information to the central nervous system again central nervous system brain and spinal cord where it is processed right where they the information is processed and once it is processed it passes through through the motor commands through the afferent division into the different parts of your body now these different parts of your bodies can be divided into two parts number one one that goes to the skeletal muscle remember again skeletal muscles these are called the somatic nervous system somatic nervous system is voluntary what does voluntary me it means that it is under your control I must say to a certain extent okay so this is the somatic nervous system and then the somatic not the other division is known as the autonomic nervous system autonomic the world comes from the word automatic so it is involuntary that it is not under your control so there are two divisions for this - one is parasympathetic division the other is pathetic division and both of these divisions control smooth muscle cardiac muscles and clan so what are we learning today we are learning this part the part which is not under your control which is called the autonomic nervous system or a NS okay this division this division is highly sophisticated I would say and it is it is it feels like this this division has a lot to give to our day-to-day lives okay so before even be going to this let me just reiterate what what is the background of autonomic nervous system so usually autonomic nervous systems comes into play during chair during situations of emergency but there are several throughout our day to day activities the autonomic nervous system is required so you you must have read a storybook you know or watched an episode of a sitcom or a film and your heart started racing okay you were feeling oh my god I am sweating and it does that happen usually when we are sweating we are breathing heavy is when we are doing exercise right but this is not that kind of sweating this is we are not doing exercise but we are still sweating and that is a result of reading a book maybe watching a sitcom baby and this increase in sweating increase in the heart rate or suddenly you have been told that sorry that you have to take a test right now your hearts will start racing your palms will start sweating these actions these actions are not under your control even if you feel that I do not want to sweat you will still be sweating and this is a radar this is a result of autonomic nervous system also known as ans we do not have control on these emotions on these actions so now that we know about a little bit background about autonomic nervous system the question is which part of the brain controls it it is the hypothalamus and we have learned about hypothalamus hypothalamus is part of the diencephalon if you remember and diencephalon consists of three parts epithalamus thalamus and hypothalamus okay hypo word means hypo means below so it is below thalamus hypothalamus is the part which is responsible for these activities hypothalamus this this part of the brain has many many functions and we have learned all of them right so just to review it is just it is called a neuro regulatory or neuro endocrine organ because it produces hormones it controls hormone release and as a result there are many other functions like sex drive biological clock temperature regulation naming some which are extremely important roles for hypothalamus the hypothalamus is controlled and integrated center of the autonomic nervous system and its actions are automatic and not subject to code conscious control and it receives final fiber bundles from higher centers such as vision auditory personality which are all part of the cerebral cortex or setting prom it actually discharges its the information down through the car that is a spinal cord through the sympathetic and the parasympathetic system so as we said so if you remember let me go back the slide and if you remember so autonomic nervous system and there are two division sympathetic and parasympathetic so it receives information from the brain and the spinal cord and disperses the information through its two division sympathetic and parasympathetic so what is the difference between the somatic motor system and the autonomic nervous system so the somatic nervous system involves initiation and transmission so we are looking at the somatic here which controls the skeletal muscle and autonomic nervous system which controls smooth muscles cardiac muscles and the glands so for the somatic nervous system it in them the somatic motor involves initiation and transmission of nerve signals from the CNS to the skeletal muscle the somatic nervous system controls all boring stuff believe me like picking up a pen or you know shaking hands or walking etc etc controlled by the skeletal system the autonomic nervous system this autonomic nervous system called anus is also called visceral nervous system visceral nervous system because it does all sorts of all sorts of action related to the visceral organs and does some very very interesting stuff like blushing goose bump last spring etc which are involuntary and not under your control which is involuntary means the anus any shirts and transmits no signals from the CNS to the guts heart glands reproductive organs etc the function of the anus is to maintain homeostasis or a constant internal environment thus the anus controls all physiological processes that must be maintained by the nervous system to keep the body alive including regulation of heart rate blood pressure body temperature respiratory rate sweating and digestion the NS keeps these variables within the optimal ranges and adjust the variables to meet the changing body needs the anus consists of two parts which is sympathetic and parasympathetic and both of them work opposite of each other so let's understand some of the so let's understand some of the basic differences between somatic and autonomic nervous systems so if you look into this slide you will understand there is a single there's a single lower motor neuron extends from the CNS to the skeletal muscle fibers in the somatic nervous system its cell body lies in the brainstem or spinal cord here in the CNS it lies in the brainstem or the spinal cord axons are usually myelinated with a large diameter for fast transmission of nerve signal in comparison the anus there are to change or to lower motor neurons and that extends from the CNS to innervate the cardiac muscle smooth muscles and the clients the first neuron which is called the preganglionic fibers or you can call them pretend your axons they it's cell body lies in the brainstem or the spinal cord so the first one's cell body is in the brain or spinal cord and the preganglionic neurons are myelinated and small and small in axon the axonal length of the preganglionic neuron is much smaller in addition it releases acetylcholine and until I'm going to discuss more about the neurotransmitters how it releases how what are its action little later but just remember it releases acetylcholine from the first or the preganglionic neurons the cell the second neuron is called you can see it in here the second neuron that is coming out is known as a post ganglionic neuron its cell body resides in the autonomic ganglia and extends to the smooth muscle cardiac muscle so now the synapse this region where the preganglionic neuron synapses with the post Ganic ganglionic neuron is known as autonomic ganglion or sympathetic camión does not matter you can call them any of the names on the other end if you see the parasympathetic neuron the parasympathetic neuron is you can see it in here the preganglionic neuron is much longer the axons are much longer it starts from again the brain and the spinal cord which we will learn little more details later on and then synapses and the autonomic ganglion but the postganglionic neuron is much smaller it is the length of the axon is smaller and and then it innervates the smooth muscle with muscles and glands similar to the sympathetic nervous system so um from here so from here on we are just going to concentrate on the autonomic nervous system so again what is autonomic nervous system autonomic nervous system okay let me see why okay so before we go ahead with the detail autonomic nervous system I just want to show you a little bit of a comparison between the two before we go ahead so this is the somatic nervous system as you can see so information from the the cerebrum these neurons are sending information through these lower motor neurons to the skeletal muscles okay and we have done this before and in the autonomic nervous system you have seen that these are the visceral motor neurons which are here you can see this if these are coming from the hypothalamus and then they innervate the preganglionic neurons which forms a ganglion in here which is known as autonomic ganglion and then passes on the information to the postganglionic neurons to the smooth muscles grand carrot muscles and fat so these are the parts of the autonomic nervous system so with this let's learn more about in the autonomic nervous system the autonomic nervous system as we said is also known as visceral or vegetative nervous system stimulates and control structure not under your conscious control right it is a motor division and is subdivided into two parts which is called the sympathetic and the parasympathetic division usually usually the sympathetic and the parasympathetic sends information to the same organs or structure but there are a couple of exceptions two or three exceptions which are very important you know okay the similarities are if he learn first about the sympathetic and parasympathetic sending impulses to the same kind of same organs for example sympathetic increases heart rate resulting in increased pulse rate whereas parasympathetic slows down the heart rate so it's opposite of each other and that's the reason they are known as their antagonist to each other so they if one increases the heart rate the other is responsible to lower the heart rate okay sympathetic causes increase dilation of pupil and parasympathetic causes constriction of pupil so so you can see what is written in here is that these two are work independent of V each other that is they innervate one single division gland but they work opposite to each other and we will do how they control together later on okay so so these two division which is sympathetic and the paths and you point back to slide once more is that you can think of this like tap water okay so you have hot water right which is sympathetic and cold water let's call it parasympathetic and when you open both of them it's luke water now if you want the water to be warmer you need to open the hot tap which is a sympathetic division and if you want to have more cold water you need to open the qolt app which is parasympathetic so in order for one to override the other one system has to work more efficiently than the other and it is possible it depends upon the physiological condition and sympathetic will be the leading factor over the parasympathetic or when the parasympathetic will be the leading factor over sympathetic so basically sympathetic division is the one that dominates when a person is in stress okay so let's go over the next slide so this is usually sympathetic comes into the picture when a person is in huge stress that is into when it's an emergency condition and usually it's defined by four EPS that is for fear fight flee and sex it's get called for X so you can write it for number four well the letter on the number four and then F apostrophe s so for fo you are fear fight flee and sex when one feels threatened the odd man the body automatically you know prepared yourself for fight-or-flight Pianist of the other end which is parasympathetic nervous system is for calm vegetative state usually switched on after a big big meal so anus is when there is an emergency condition and you really need to work immediately and parasympathetic is a con vegetative state let's take an example suppose there is a lion right in front of you right now okay and if you think you know now if you start thinking what should I do should I run or should I just wait you are definitely going to be attacked by the line so if you're thinking about digestion if you're thinking I let me sit and have my food get digested and then I will run away it will not happen because if you wait for your launch or the dinner to be digested you will become yourself become lunch of the lion so as a result it is an immediate response that is required in order for it to happen for it for you to flee and in order for this flee to happen in order for you to act immediately sympathetic nervous system one has to come into play so and in that case whenever the sympathetic nervous system starts working so you remember in order for you to see there are multiple factors that needs to happen okay so number one is your mental alertness needs to be super super working very fast heightened that's the world there has to be increased metabolic rate so that there is enough energy given to the muscles so that the muscles can act and you can flee and there can be reduced digestive and urinary function at this point the addition is not required you don't need to comb you know P so as a result this the energy required to do those phenomenon in a body can wait okay because this is an emergency situation the energy reserves anything the liver with stored glucose in the form of glycogen now is able to convert guy Roger into glucose and give it to the muscles which can use to act but there is increased respiratory rate you can understand at this point you are breathing heavy heavy heavy heavy the respiratory passageways dilate in order oxygen to go in there is a increased heart rate and blood pressure of course because we need more oxygen into the muscles remember these blood vessels are going to go directly to the skeletal muscles in order for them to act fast sweat glands are activated yes you know the sweat glands you start sweating the temperature regulation which changes a little bit and as a result the increase in temperature causes the sweat glands to be activated so this is all about the sympathetic division of the autonomic nervous system now I want okay so one last thing I want you mention here before we go there is that sympathetic division as we had learned has two sets of lower motor neurons right the preganglionic neuron and the postganglionic neurons okay and these actually come out from the spinal cord which is called the throstle lumbar region that means it comes from the thoracic region and the lumbar region so you can see it's called a wrassle lumbar division what comes out the preganglionic fibers of the sympathetic nervous system comes out from the thoraseal lumbar region these are the presynaptic neuron they form a chain which is known as autonomic chain and then the postganglionic neuron then innervate the different organs in your body and does the task okay so apart from this the the sympathetic division is divided as you can see this is a thoraseal lumbar region that the preganglionic neurons are coming out is divided into three major parts one is known as a sympathetic chain gang gear which is spared that means one comes out from the right side the other comes out from the left side the collateral ganglion which is unpaired that means usually there is only one of them coming off from one part of the body it is usually from the anterior cart and the last is a medulla which is again paired remember adrenal medulla just recapping adrenal medulla is an organ or a gland which is situated on top of the kidneys okay and it is a neuro endocrine gland which we learned before and these are pre ganglionic neuron the third part is the adrenal medulla which call it is again paired because we have two of them in left and right so what is the difference between them so let me go to the next slide so you will understand so on the three different kinds of autonomic nervous system is the sympathetic preganglionic fibers which was a first one originate from the lateral horns and become part of the spinal anterior roots and this the they are myelinated the preganglionic neurons are myelinated and they form a sympathetic chain so you can see this chain formation that is there the sympathetic chain is formed and then they pass out through the you know then these fibers diverged extensively actually with and then synapse into the different organs as you can see it in here okay so the sympathetic chain ganglion which was the first month sympathetic a his chain ganglion is also called periban vertebral ganglia again sympathetic chain ganglia is also called Kara vertebral ganglia which lie on each side of the vertebral column neurons of these gland clear ganea control effectors of the body wall thoracic body head neck and limbs these are all four that are controlled by the sympathetic chain Gandia the next is collateral ganglia these are also known as pre vertebral ganglia our anterior to the vertebral column C so these if you look in here these are all part of the collateral ganglia and collateral ganglia contains cannula neurons that inter innervate abdominal pelvic tissue and viscera so you can see the abdominal pelvic region this is the abdominal region this is the pelvic region and they innervate each one of them okay and since the abdominal pelvic region each one of them is one for example you know we have one stomach and we have one your uterus we have one urinary bladder so these are not fair just so they are one in number and they come out to that terior part the last is adrenal medulla which is very interesting the center of each adrenal gland which is called the adrenal medulla so adrenal gland is divided into two parts one is the adrenal cortex which is the outer part of it and the inner part is called the adrenal medulla so we are talking about the inner part here which is the adrenal medulla it is a modified sympathetic ganglia okay the ganglionic neurons of the adrenal medulla have very very short axons when these minerally cells are stimulated when these cells of the head renal medulla is stimulated they secrete neurotransmitters directly into the bloodstream and they do not actually synapse so if you look into the so if you look into the red fiber that is in here so basically pre ganglionic neurons are coming and having you know directly it is stimulating the adrenal medulla this mode of release allows neurotransmitter to function as hormones affecting target cell throughout the body so basically these transmission from the adrenal gland or adrenal medulla is very effective because the adrenal medulla is able to produce hormones which is epinephrine and norepinephrine both of them are very very important for fight-or-flight response which is during stress and it happens it does not synapse it the preganglionic neurons directly come and activate the adrenal medulla t-cells which in turn actually causes the release of hormones from the adrenal medulla so with that high continuing with the parasympathetic division of the autonomic nervous system so the second part we have already learned the sympathetic nervous system so we are going ahead with the parasympathetic nervous system so as you can see it in here there are the parasympathetic is also known as a cranial sacral division because the nerve innervations that come out from the different parts of the nervous system is mainly from the brainstem of the brain and the sacral division of the spinal cord so the question is which part of the brain which is brainstem and all the three regions which is midbrain pons and medulla oblongata all three of them are involved in the autonomic housing of the autonomic nuclei so all parts of the brainstem the midbrain pons medulla oblongata contain autonomic nuclei associated with several cranial nerves and and some of the segments of the spinal cord which is the last segment which is the the sacral part of it is involved in the autonomic function so say it will just review of the spinal cord the spinal cord is divided into cervical thoracic lumbar and the Sikh religion so these know fibers come out from the sacral division of the spinal cord okay so further interesting things to understand in here is parasympathetic is mainly mainly responsible for to conserve energy it is a part which promotes sedentary activities I want you to understand this that once the sympathetic is initiated and completed there needs to be a phrase of rest and that is essential and that is what parasympathetic division is okay it helps the body to basically reset itself to start the next cycle so if you look at the next slide here so there are five different responses associated with it one is a decreased metabolic rate so if you remember it's just pretty much opposite of what sympathetic division was here there is a decreased metabolic rate decrease heart rate and blood pressure increased secretion of saliva and digestive glands increased metabolic increased secretion of saliva and digestive class was a third one there is increase the blood flow in the digestive tract because there is in his digestion and there is increased urination and defecation so this these are the different five responses that is related with the parasympathetic division the parasympathetic division as we just said that it is involved you know in the brainstem and in the sacral division interesting to understand here is the the preganglionic fibers of the parasympathetic division do not diverge as extensively as to the sympathetic division a typical pre guided fiber synapses with maybe six or seven different six to maybe eight of them in the region which is called the terminal ganya organic neurons around here it's synapses it's longer and then it goes to the target organ there are several cranial nerves which are involved in this entire process because it comes out from the brainstem cranial nerve three seven nine and ten are actively involved in the process and you can see the target organs are I tear glands a library grandpa wrote it down several visceral organs of the neck thoracic cavity are all part of the brainstem which controls the autonomic division of that the other part is a sacral division which actually forms an intramural ganglia which in turn actually controls the visceral organs associated with the abdominal pelvic cavity so with that if you see this figure you will understand and sorry if you see this you will see that this part which is coming these fibers which are coming out from the brainstem control these organs the ones that which are said and the ones that are coming from the sacral region is more associated with the abdomen or pelvic cavity in our body okay so before we go into the last part I would like to actually specify some important information is that again parasympathetic division is involved in rest it was mainly antagonist Lee with the sympathetic division there are certain exceptions which will probe it later and as such this is absolutely necessary and it is a craniosacral the innovation comes out from the same no structural division and and the preganglionic neurons or axon are much longer than the post can be only neurons so going ahead with the the next part which is kind of really interesting and you know when we have started initially studying about the autonomic nervous system we always said there are two divisions one is sympathetic the other is the parasympathetic division now comes another division which we completely you know you v usually do not mentioned in here which is kind of a third nervous system division which is known as the enteric nervous system the ENS okay the ENS is an extensive network of neurons and north wall networks which actually is part the network of nerves that go to the digestive system although the sympathetic and the parasympathetic control on the ENS activities but the units at least still can coordinate many visceral reflexes locally without without and the instruction of the CNS so pretty much it can work on his own so altogether there are about 100 million neurons involved in its you can understand it is it is an important part of the homeostasis and there are several neurotransmitters that are found in the brain works in conjunction with the ENS okay so this actually shows you basically kind of our review of sympathetic and parasympathetic division how they are the from each other and I'm going to actually go over the differences between them a summary of the sympathetic division and the parasympathetic division okay so let's do one at a time the sympathetic division of the anus includes two sets of sympathetic chain ganglia one on each side left and right of the vertebral column and there are three collateral ganglia anterior to the vertebral column and to adrenal medulla that is that is also very important adrenal medulla actually acts as an important sympathetic division and no parasympathetic division actually comes to the adrenal medulla the preganglionic fibers is the second one the peak angular fibers are short because the ganglia are close to the spinal cord the postganglionic fibers if you remember now if you see this these four scan groanings though these are the preganglionic fibers which are shown in yellow and the ones that are shown in green are the postganglionic neuron so the pre Gangnam kernels are relatively short they form of anionic change very near to the spinal cord but the postganglionic neurons actually are longer and extend a considerable distance add and go to the target organs okay the sympathetic division shows extensive divergence okay there is a huge amount of divergences then they come out pretty angliana cow and they diverge to different several different organs in place one actually even one preganglionic fiber can actually innervate or go to dozens of of the postganglionic fibers to the target cell the third fourth point is all predominantly RIANZ release ACH all every one of them the postganglionic neurons on the other hand can release ACH but mainly releases norepinephrine so mainly the postganglionic neurons of the sympathetic division releases norepinephrine neurotransmitter okay so this is mainly some of the major parts of the sympathetic division so now if we do the parasympathetic division the parasympathetic division includes a visceral motor nuclei and they are associated with the cranial nerves 3 7 9 and 10 and the sacral division also from s2 to s4 okay the ganglionic neurons are located in the ganglia so you can see these small places where the synapse is the ganglia and and then they go to the target organ then they reach the target are the parasympathetic division does innervate but the divergence of these are these fibers are not so much so each one of them actually go to a particular organ from the free then to the post they go in there the important thing to remember is the preganglionic neurons are very long and the postganglionic neurons are very sharp so the ganglia that forms is near the target organ okay okay so actually the parasympathetic division has approximately one-fifth of as much as diversion as sympathetic so sympathetic diversion or branching of these fibers to different organs is much higher than that of the parasympathetic division on all parasympathetic division neurons are calling a chip that means whether it's pre ganglionic neuron or postganglionic neuron both release acetylcholine and the new receptors as we know are muscarinic receptors and in your muscular junctions and it can be nicotinic receptors also okay so mainly the effects of parasympathetic division is for rest and and mainly the function of sympathetic division comes into picture during emergency sympathetic division in general is involved in more functions like increasing in the heart rate increase in respiration parasympathetic on the other hand is responsible for mainly for mainly rest vegetative state or to reset the entire process so with that we go to the last section here which is the autonomic division working together so the first part as you can see is what we have just learned how the sympathetic and parasympathetic work and tagging asleep to each other opposite of each other here you can see a very good example of how sympathetic increases the heart rate acceptor that explosive the heart rate parasympathetic also increases digestion but sympathetic decreases that in addition so it's antagonists they both can't act in a split with each other but there are some occasions are some of the phenomenon in which they work together and that is called the co-operative effects okay the co-operative effects is seen in when the both the sympathetic and the parasympathetic stimulation causes different effects that together you know combination they work synergistically they work as a as a team and have one distinct result the best example is the sexual function of the male reproductive system the male penis becomes erect as a result of parasympathetic division or innervation and ejaculation of the semen from the penis occurs as a result of sympathetic innervation so initially the initial part is taken care by the parasympathetic division where the erection of the peanut penis happens and then the ejaculation process and for the ejaculation process the sympathetic division has to come into the picture the dwell effect the combination of that a synergistic effect of this is the process when the semen comes out
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