Progressive chnages: Regeneration, repair, hypertrophy, hyperplasia, metaplasia, adaption Flashcards
progressive changes
-serve to improve the funciton of tissues and organs or they help renovation or substitution
regeneration
involve removal od exsudate and dead cells by enzymatic dissolution and phagocytosis
labile cells
-intermitotic-bone, pulp, epi, skin, GIT
-regenerate
stable cells
after mitotic-liver, pancreas, kidney, CT
- prolif when pathologic process initiate them
permant cells
neurons of CNS, heart, skjelelt
no proliferation
process of rgeenraiton
- movemnet into vacant space
- proliferaiton
removal of contact inhibition-control factors
- in normal-no conctact inhibiton–>move vertically to replace lost surface
- after wounding-cells move lat to cover
so contact inhibtion keep cells growing into a layer on cell thick-nonlayer
presence of chemical factors promoting proliferation-control factors
polypeptides:
platetlet derived growth factors-PDGF
epidermal cellls-EGFR
macrophages -MDGF
removal of chemical factors inhibiting mitosis
-chalones
Reparation(repair)
-replacemnet of tissue defects by fibrous tissue
reparation et regeneration
- both happen at the same time
- fracture or hemoorhage into soft tissue
phases of fractue healin
- reactive/inflmmatory phase
- granulaiton tissue formaiton - reparative phase:
-cartilage callus formaiton
- lamellar bone deposition - remodeling(or regnerative) pahse
- foreign body
granulation tissue
NEW
new forming vv
-edema
-losse extra cell matrix
OLD:
- less vv
-no loose stroma-ONLY DENSE COLLAGENOUS STROMA NEAR SCAR
early granulation tissue compartment
cells: fibroblast, macrophages, neutrophils
proliferating capp
local factors influecnign wound healin
-infection
-poor blood supply
-foreign bodies
-movement of cells
-exposure to radiation
-exposrue to UVB radiation
7. type, size and location of injury