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The exact cause of these complaints is unknown; however, a disturbance in cranial blood flow is the likely underlying pathogenetic mechanism. In addition to an often inherited predisposition, precipitating factors are required to provoke an attack, e. g. , psychic stress, lack of sleep, certain foods.
The most common unwanted effect is gastrointestinal upset (nausea, vomiting, diarrhea, etc. ) due to (1) a direct mucosal irritant action of these substances and (2) damage to the natural bacterial gut flora (broad-spectrum antibiotics) allowing colonization by pathogenic organisms, including Candida fungi.

 

Thus, blood and hepatic parenchyma are able to maintain intimate contact and intensive exchange of substances, which is further facilitated by microvilli covering the hepatocyte surfaces abutting Disse’s spaces. The hepatocyte secretes biliary fluid into the bile canaliculi (dark green), tubular intercellular clefts that are sealed off from the blood spaces by tight junctions.
These include energy-consuming pumps (e.g., Na, K-ATPase), carriers (e.g., for Na/glucose-cotransport), and ion channels e.g., for sodium or calcium. Functional coordination between single cells is a prerequisite for viability of the organism, hence also for the survival of individual cells. Cell functions are regulated by means of messenger substances for the transfer of information.

 

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