Senses - UniMAP
Transcription
Senses - UniMAP
GENERAL SENSES Dr. Hj. Abdul Rashid Hj. Said. Consultant Psychiatrist Hospital Tuanku Fauziah, Kangar, Perlis. Introduction • Sense is the ability to perceive stimuli. • Sight, smell, taste, touch and hearing • General senses – distributed over a large part of the body eg. Pain, touch, temperature, vibration, itch and proprioception. # somatic # visceral • Special senses - localized to specific part of the body eg. Smell, taste, sight, hearing and balance. RECEPTORS • Sensory nerve endings or specialized cell capable of responding to stimuli by developing action potential. • Mechanoreceptors – respond to mechanical stimuli such as bending or stretching. • Chemoreceptors – respond to chemicals such as odour molecules RECEPTORS….. • Photoreceptors – respond to light. • Thermoreceptors – respond to temperature changes. • Nociceptors – respond to stimuli that result in sensation of pain PAIN • Two types of pain sensation. – 1. Sharp well localized, pricking or cutting pain. Faster action potential 2. Diffuse, dull, burning or aching pain. Slower action potential Referred Pain • A painful sensation perceived to originate in the region of the body that is not the source of the pain stimulus. Areas of referred pain Suppression of Pain. • Local anaesthesia - blocking the action potential by using chemical agents. • General anaesthesia – Pain sensation can also be suppressed if loss conciousness is produced. Chemical agent that block the reticular formations PHANTOM PAIN • Occurs in people with appendages amputated. • Perceive intense pain in the amputated structure as if it were still there. • Integration of cerebral cortex results in perception of pain that is projected to the site of sensory receptor for that pathway. SPECIAL SENSES • OLFACTORY (SENSE OF SMELL) • SENSE OF TASTE • SIGHT / VISION • HEARING AND EQUILIBRIUM Special Senses • SENSE of TASTE VISION. Lacrimal apparatus Lacrimal apparatus Neuronal Pathways for Vision • 1. Each visual field is divided into a temporal and nasal half. • 2. Light from each half of the a visual field projects to the opposite side of the retina. • 3. An optic nerve consists of axons extending from the retina to the optic chiasma. Neuronal Pathways for Vision • 4. In the optic chiasma axons from the nasal part of the retina cross and project to the opposite of the brain. Axons of the temporal part does not cross. • 5. An optic tract consists of axons that have passed through optic chiasma to the thalamus. Neuronal Pathways for Vision • 6. The axons synapse in the thalamus. Collateral branches of the axons in the optic tracts synapse in the superior colliculi. • 7. An optic radiation consists of axons from thalamic neurons that project to the visual cortex. • 8. The right part of each visual field projects to the left side of brain and vice versa. Eye Disoders • Myopia (Nearsightedness) – Rabun jauh. • Hyperopia (Farsightedness) – Rabun dekat Rabun jauh Rabun dekat Conjunctivitis • Infection of the conjunctiva HEARING AND BALANCE • The ear - External Ear - Middle Ear - Inner ear Hearing. Neuronal Pathways for Hearing • 1. Sound waves strike the tympanic membrane and cause it to vibrate. • 2. Vibration of the tympanic membrane causes the three bones of the middle ear to vibrate. • 3. The stapes vibrates in the oval window. • 4. Vibration of the stapes causes the perilymph in the scala vestibuli to vibrate Neuronal Pathways for Hearing • 5. Vibration of the perilymph passes through the vestibular membrane and causes vibration of the endolymph in the cochlear duct. • 6. Vibration of the endolymph causes displacement of the basillar membrane Neuronal Pathways for Hearing • 7. Vibration of the perilymph in the scala vestibuli and of the endolymph in the cochlear duct are transferred to the perilymph of the scala tympani. • Vibrations in the perilymph of the scala tympani are transferred to the round window, which is flexible and allows movement of the entire fluid column of the perilymph. Ear Disorders • Otitis Media – infection of the middle ear. Equilibrium • Static equilibrium – associated with the vestibule and is involved in evaluation the position of the head relative to the gravity. • Kinetic equilibrium – associated with semicircular canal and is involved in evaluating changes in the direction and rate of head movements. Semicircular Canal Effects of Aging on the Special Senses • Presbyacusis - As the age increasing, the number of hair cells in the cochlear decrease. The decline doesn’t occur equally in both ears. • Old people tends to fall due to decrease in number of hair cells in the saccule, utricle and ampullae. Example of Questionnaires • Multiple Choice Questionaires. • 1. Berikut adalah sel-sel sistem saraf pusat. A. Microglia T/F B. Limfosit T/F C. Neutrophil T/F D. Astrocytes T/F E. Ependymal cell T/F • 2. Berikut adalah perkara-perkara yang benar mengenai action potential selsel saraf. A. Resting membrane potential berlaku kerana perbezaan cas negetif dan positif. T/F B. Depolarization adalah proses permulaan impulse. T/F C. Action potential sel-sel saraf bergerak di kedua arah. T/F D. Pencetusan pergerakan action potential berdasarkan hukum “all in one law”. T/F E. Repolarization adalah proses permulaan impulse. T/F. Contoh soalan nota pendek. • 1. a. Nyatakan fungsi-fungsi utama sistem saraf pusat. (4 markah) b. Bagaimanakah sistem saraf periferi berintegrasi dengan sistem saraf pusat ( 3markah). c. Berikan contoh khusus untuk soalan 1b.