MINDARIE SENIOR COLLEGE 3A/3B Human Biological Science Homeostatic Dysfunction Hormonal causes of disruptions: Diabetes mellitus Symptom: Role of insulin: Stimulate cells to take in glucose from blood. Stimulate conversion of glucose into glycogen by liver and muscle cells. Dysfunction: Hyperglycaemia: abnormally high levels of blood glucose. Insufficient insulin production or cells resistant to insulin effects. High levels of blood glucose. Large quantities of glucose excreted in urine. Types: Type 1 (insulin dependent diabetes). Type 2 (non-insulin dependent or adult onset diabetes). Type 1 (insulin dependent or juvenile diabetes ). Cause: Treatment: Fault in immune system causes destruction of beta cells in Islets of Langerhans. No insulin produced. Tablets not suitable as insulin is digestible. Regular injections of insulin Programmable insulin pump No cure Long Term Effects: Kidney failure Heart attack Stroke Amputations Blindness Nerve damage Type 2 (non-insulin dependent or adult onset diabetes). Cause: Insulin is produced but cells do not respond to it. Lifestyle disease. Risk factors: Treatment: Inactivity Obesity Energy rich/low fibre diet Hypertension High blood cholesterol Smoking Often no symptoms – and not diagnosed. Preventable by adopting a healthy lifestyle. No cure Early diagnosis can lead to successful management. Long Term Effects: Heart disease stroke Kidney disease Eye problems Nerve damage Skin and foot problems. Hormonal causes of disruptions: Excess or deficiency of thyroid hormones. Symptom: Role of thyroxine and tri-iodothyronine: Stimulate carbohydrate, protein and fat metabolism. Regulate basal metabolic rate. Influence long term homeostasis of body temperature Dysfunction: Too little or too much thyroid hormones (thyroxine and triiodothyronine) Imbalance in Thyroid Stimulating Hormone from anterior Pituitary leads to imbalance in thyroxine. Large quantities of glucose excreted in urine. Types of dysfunction: Hyperthyroidism Hypothyroidism Cause: Graves’ disease (most common form) Enlarged thyroid caused by immune system reaction. Genetic predisposition. Effects: Too much thyroid hormone secreted. Types: Hyperthyroidism Overstimulation of cells restlessness Rapid heart rate Weight loss Increased appetite Anxiety/excitable Fatigue Sweating Swings in mood and emotional state. Protruding eye balls – exophthalmia - (Graves’ disease) (Pres G W H Bush suffered this condition.) Treatment: Drugs to block thyroid gland’s use of iodine. Surgery to remove all or part of thyroid gland Radioactive iodine used to over active thyroid cells. Cause: Too little thyroid hormone secreted. Problems with hypothalamus, pituitary gland or thyroid gland. More common of the two conditions (6%-10% Australian females suffer) Lack of iodine in diet prevents thyroid secreting sufficient hormones. Surgical removal (cancer treatment) of gland or parts of gland. Goitre Effects: Thyroid gland becomes enlarged in attempt to produce more hormone. Cretinism Deficiency of iodine in maternal diet Baby severely mentally and physically retarded, impaired movement and hearing. Immune system attacks thyroid gland Hypothyroidism Hashimoto’s disease Treatment: Inclusion of extra iodine in diet (if this is the cause) No cure. Carefully monitored doses of thyroid hormone (tablets) Behavioural causes of homeostatic disruption Drugs Non-medicinal drugs may interfere with nerve impulse transmission by binding to receptor sites. Caffeine Effects Stimulates metabolism and CNS Increases heart rate Increases kidney blood flow, increasing urine production. Increases pulmonary blood flow and relaxes bronchioles, increasing pulmonary ventilation. Alcohol Effects CNS depressant Stimulates insulin secretion, lowering blood sugar levels. Inhibits secretion of ADH, increasing urine output and dehydration More behavioural causes of homeostatic disruption Drugs (continued) Amphetamine and methamphetamine Effects Cause release of noradrenaline, dopamine (hormones and neurotransmitters) and serotonin (neurotransmitter) May enhance alertness, motivation and clear thinking Disrupts homeostasis by affecting appetite and weight control Synthetic amphetamine MDMA (ecstacy) Effects Cause release of noradrenaline, dopamine and accumulation of serotonin. Initiates fight or flight syndrome, user feels more energetic Increase heart rate and blood pressure Increases breathing rate Causes sweating and dehydration Decreases appetite In high doses – rapid rise in body temp and BP, heart palpitations, vomiting. More behavioural causes of homeostatic disruption Drugs (continued) Cocaine Effects Blocks removal of noradrenaline, dopamine and serotonin from synapse between nerve cells Stimulates CNS Disrupts homeostasis by increasing heart rate, blood pressure, body temperature, breathing rate, dilating pupils, loss of appetite. Heroin Effects Used medicinally as strong analgesic. When injected recreationally, binds to brain receptors resulting in Intense euphoria Decrease in pain perception Relief from anxiety. Profound effects on homeostasis Depresses control of breathing Depressed control of blood pressure and body temperature Irregular heart rate Unconsciousness, coma or death (large dose) More behavioural causes of homeostatic disruption Excessive activity Well planned, monitored and not obsessively over taxing exercise levels are beneficial Excessive activity may cause physical damage to tendons, muscles, ligaments, cartilages, bones and joints. Homeostatic dysfunction may result If nutrition is inadequate muscle may breakdown to source energy Eating disorders are strongly linked to excessive exercise. Great stress on heart may lead to cardiovascular problems Loss of Calcium deposition may lead to osteoporosis. Amenorrhoea may occur if energy uptake is inadequate. More behavioural causes of homeostatic disruption Eating habits Deficiency diseases may result from inadequate intake of vitamins and minerals Examples of deficiency: Iodine Iron Causes anaemia: insufficient haemoglobin Reduced oxygen carrying capacity of RBC’s Reduced rate of Cellular Respiration and energy release. causing weakness, fatigue, breathlessness, elevated heart rate. Vitamin B causes Pernicious anaemia (stem cell divisions don’t occur) Vitamin K Produced by bacteria in large intestine. Lack causes reduced blood clotting ability. Homeostasis compromised if excessive blood is lost. Energy balance (intake and use) is a complex but essential element of homeostasis. Alimentary canal, hormones, CNS (hypothalamus), Autonomic NS are linked. Imbalances may be caused physically or psychologically. Lifestyle, eating habits and natural selection play a role in contributing to obesity epidemic Homeostatic disruption caused by disease. A disease is any condition in which normal functioning is impaired. Some diseases have direct effects on homeostasis Emphysema: Alveolar walls breakdown, reducing surface area for gas exchange results in difficulty in taking in oxygen Cause: Smoking Symptoms Breathlessness, initially during activity, and eventually, constantly Treatment: damage is irreversible Fever: An elevation of body temperature A symptom of a disease Cause: Many infections. Symptoms 1 or 2 degrees C increase in core temperature. Effect: Helps immune system overcome infection Disrupts homeostasis by affecting many body reactions - increasing temp beyond optimal range. More homeostatic disruption caused by disease. Hypertension: Cause: Homeostatic mechanisms unable to keep blood pressure within normal range Genetic factors, excessive salt intake obesity Inactivity High alcohol intake Kidney disease Poor lifestyle choices Effects Significant risk factor for cardiovascular disease and kidney failure Treatment: Adopt a healthy lifestyle Injuries: Examples: Excessive blood loss limits supply of oxygen and glucose, and removal of carbon dioxide and wastes. Punctured/collapsed lung impairs gas exchange Immobility limits venous return Spinal cord injuries reduce innervation of respiratory muscles. Hormonal treatments to homeostatic disruptions Hormone replacement therapy To treat symptoms of menopausal women hot flushes and night sweats Uncomfortable skin sensations Headaches Thinning and dryness of walls of vagina Aches and pains Frequent urination Reduced libido Tiredness and irritability Mood disturbances, loss of self esteem, depression Sleeping difficulties Treatment May not require medical intervention Severe symptoms may need HRT Oestrogen and progesterone prescribed to counteract loss or irregularities in natural secretions Carefully managed doses given as tablets, patches, gels, implants or nasal spray. Risks and benefits must be carefully assessed May lead to side effects – bleeding, bloating, breast tenderness, slight increase in risk of breast cancer, CV disease, thrombosis. More hormonal treatments for homeostatic disruptions Corticosteroids and treatment of rheumatoid arthritis Rheumatoid arthritis A crippling disease Immune system attacks synovial membrane of joints, causing painful swelling and deformity Treatment Corticosteroids, closely related to cortisol (the ‘ stress hormone’ secreted by the adrenal gland) Act on immune system to block production of substances which stimulate allergic and inflammatory responses Side effect – reduce resistance to infection due to interference to WBC’s. Usage of lowest possible doses must be managed very carefully Behavioural treatments for homeostatic disruptions Control of reproduction Intervention in Menstrual Cycle and Ovarian Cycle Female infertility Hormonal contraception Combined Pill (synthetic progesterone and oestrogen) Prevent ovulation Reduce ability of sperm to enter uterus Reduce likelihood of implantation Mini Pill (progesterone substitute) Thickens mucus plug in cervix preventing entry of sperm Reliable, effective and allows personal choice. Some risks involved with intervention to normal body functioning Combined pill - Headaches, nausea, increased appetite, breast tenderness, increased incidence of heart attacks, strokes, blood clots Mini Pill – fewer complications, but less reliable if not used with discipline. Drugs, synthetic forms of pituitary hormones, can be used to induce ovulation High risk of multiple pregnancy Use of in-vitro fertilization Side effects to hormones, multiple pregnancies, premature birth must be considered. Male infertility Problem with up to 50% of infertile couples due to male sperm problems Treatment with gonadotrophins over several months may help.