Zusammenfassung der Ressource
Healing and Repair
- Definitions
Anmerkungen:
- Regeneration: Destroyed tissue replaced by original tissue, function retained.
Repair: half regeneration, half scar tissue
Fibrosis: Replacement of tissue with scar tissue.
- Factors that lead to regeneration or repair
Anmerkungen:
- Proliferative Potential: Depends on tissue
Volume: How many tissue removed
Persistence: Yeah, depends on pathology too
Location: Where it got hurt.
- What starts healing
Anmerkungen:
- Triggers by same stimuli that induces inflammation and cellular death.
Recruited inflammatory cells.
- Stages
Anmerkungen:
- Haemostassis and acute inflammatory response
Parenchymal Regeneration
Migration and proliferation of fibroblasts
Synthesis of extracellular matrix
Remodelling of parenchyma (to restore function
REstore strength
- Granulation Tissue
Anmerkungen:
- Tissue that proliferate repair
Consists of cells like microphages *provide growth factors
Fibroblasts
Blood vessels
Tissue may cause it to look edemic and swollen.
- Scar Tissue
Anmerkungen:
- More of fibroblast, the result of granulation tissue healing.
- Healing in 1st Intention
Anmerkungen:
- Clean cut.
Neutrophils migrate towards scab.
The epidermis is healed within 3 to 4 days.
Deep tissues heal within 3 to 4 weeks.
- Healing in 2nd Intention
Anmerkungen:
- Significant loss of epidermal area.
Eventually will leave a dip/depression on site.
Extensive granulation tissue will form.
Normally have wound contraction.
- Mediators of Wound Healing
Anmerkungen:
- Consists of Macrophages *redundancy to create fibroblast proliferation
IL-10 Secretion to generate inflammatory cells and parachymal cells (endothelial cells)
Signalling to secrete stuff into blood vessels.
- Impede wound healing