mediastinum – средостение
18. Blood. Formed elements of the blood. Erythrocytes and platelets
Blood is considered a modified type of connective tissue. Mesodermal is composed of cells and cell frag ments (erythrocytes, leukocytes, platelets), fibrous proteins (fi—brinogen), and an extracellular fluid and proteins (plasma). It also contains cellular elements of the immune system as well as humoral factors.
The formed elements of the blood include erythrocytes, leukocytes, and platelets.
Erythrocytes, or red blood cells, are important in trans porting oxygen from the lungs to tissues and in returning carbon dioxide to the lungs. Oxygen and carbon dioxide carried in the RBC combine with hemoglobin to form ox—yhemoglobin and carbaminohemoglobin, respectively.
Mature erythrocytes are denucleated, biconcave disks with a diameter of 7–8 mm. The biconcave shape results in a 20–30 % increase in sur face area compared to a sphere.
Erythrocytes have a very large surface area: volume ratio that allows for efficient gas transfer. Erythrocyte membranes are remarkably pliable, enabling the cells to squeeze through the narrowest capillaries. In sickle cell anemia, this plasticity is lost, and the subsequent clogging of capillaries leads to sickle crisis. The normal concentration of erythrocytes in blood is 3,5–5,5 million/mm 3 in women and 4,3–5,9 million/mm 3 in men. The packed volume of blood cells per total volume of known as the he—matocrit. Normal hematocrit values are 46 % for women and 41–53 % for men.
When aging RBCs develop subtle changes, macropha—ges in the bone marrow, spleen, and liver engulf and digest them. The iron is carried by transferring in the blood to certain tissues, where it combines with apoferritin to form ferritin. The heme is catabolized into biliver—din, which is converted to bilirubin. The latter is secreted with bile salts.
Platelets (thromboplastids) are 2–3 mm in diameter.
They are a nuclear, membrane—bound cellular fragments derived by cytoplasmic fragmentation of giant cells, called megakaryocytes, in the bone marrow.
They have a short life span of approximately 10 days.
There are normally 150 000–400 000 platelets per mm3 of blood. Ultrastructurally, platelets contain two portions: a peripheral, light—staining hyalomere that sends out fine cytoplasmic processes, and a central, dark— staining granulomere that con tains mitochondria, vacuoles, glycogen granules, and granules. Platelets seal minute breaks in blood vessels and maintain endothelial integrity by adhering to the damaged vessel in a process known as platelet aggregation. Platelets are able to form a plug at the rupture site of a vessel because their mem brane permits them to agglutinate and adhere to surfaces.
Platelets aggregate to set up the cascade of enzymatic reac tions that convert fibrinogen into the fibrin fibers that make up the clot.
New words
mesodermal – мезодермальный
erythrocytes – эритроциты
platelets – тромбоциты
carbon – углерод
dioxid – диоксид
span – промежуток
light—staining – легкое окрашивание
to aggregate – соединяться
19. Blood. Formed elements of the blood. Leukocytes
Leukocytes, or white blood cells, are primarily with the cellular and humoral defense of the organism foreign materials. Leukocytes are classified as granulocytes (neutrophils, eos—inophils, basophils) and agranulocytes (lympmonocytes).
Granulocytes are named according to the staining properties of their specific granules. Neutrophils sare 10–16 mm in diameter.
They have 3–5 nuclear lobes and contain azurophilic granules (lysosomes), which contain hydrolytic enzymes for bacterial destruction, in their cytoplasm. Neutrophils are phagocytes that are drawn (chemotaxis) to bacterial che—moattractants. They are the primary cells involved in the acute inflammatory response and represent 54– 62 % of leukocytes.
Eosinophils: they have a bilobed nucleus and possess acid granulations in their cytoplasm. These granules contain hydrolytic enzymes and peroxidase, which a discharged into phagocytic vacuoles.
Eosinophils are more numerous in the blood during allergic diseases; they norma asent only – 3 % of leukocytes.
Basophils: they possess large spheroid granules, which are basophilic and metachromatic.
Basophils degranulate in certain immune reaction, releasing heparin and histamine into their surroundings. They also release additional vasoactive amines and slow reacting substance of anaphylaxis (SRS—A) consisting of leu—kotrienes LTC4, LTD4, and LTE4. They represent less than 1 % – of leukocytes.
Agranulocytes are named according to their lack of specific granules. Lymphocytes are generally small cells measuring 7—10 mm in diameter and constitute 25–33 % of leukocytes. They con tain circular dark—stained nuclei and scanty clear blue cyto plasm. Circulating lymphocytes enter the blood from the lymphatic tissues. Two principal types of immunocompetent lymphocytes can be identified T lymphocytes and В lymphocytes.
T cells differentiate in the thymus and then circulate in the peripheral blood, where they are the principal effec tors of cell—mediated immunity. They also function as helper and suppressor cells, by modulating the immune response through their effect on В cells, plasma cells, mac—rophages, and other T Cells.
В cells differentiate in bone marrow. Once activated by contact with an antigen, they differentiate into plasma cells, which synthesize antibodies that are secreted into the blood, intercellular fluid, and lymph. В lymphocytes also give rise to memory cells, which differentiate into plas ma cells only after the second exposure to the antigen. Monocytes vary in diameter from 15–18 mm and are the largest of the peripheral blood cells. They constitute 3– 7 % of leukocytes.
Monocytes possess an eccentric nucleus. The cytoplasm has a ground—glass appearance and fine azurophilic granules.
Monocytes are the precursors for members of the mo—nonuclear phagocyte system, including tissue macropha—ges (histiocytes), osteoclasts, alveolar macrophages, and Kupffer cells of the liver.
New words
mesodermal – мезодермальный
erythrocytes – эритроциты
leukocytes – лейкоциты
fibrous proteins – волокнистые белки
immune – иммунный
humoral – гуморальный
to contain – содержать
nuclei – ядра
20. Plasma
Plasma is the extracellular component of blood. It is an aqueous solution containing proteins, inorganic salts, and organic com pounds. Albumin is the major plasma protein that maintains the osmotic pressure of blood. Other plasma proteins include the globulins (alpha, beta, gamma) and fibrino—gen, which is necessary for the formation of fibrin in the final step of blood coagulation. Plasma is in equilibrium with tissue interstitial fluid through capil lary walls; therefore, the composition of plasma may be used to judge the mean composition of the extracellular fluids. Large blood proteins remain in the intravascular compartment and do not equilibrate with the interstitial fluid. Serum is a clear yellow fluid that is separated from the coagulum during the process of blood clot formation. It has the same com position as plasma, but lacks the clotting factors (especially fib rinogen).
Lymphatic vessels
Lymphatic vessels consist of a, fine network of thin—walled vessels that drain into progressively larger and progressively thicker—walled collecting trunks. These ultimately drain, via the thoracic duct and right lymphatic duct, into the left and right subclavian veins at their angles of junction with the internal jugular veins, respectively. The lymphatics serve as a one—way (i. e., toward the heart) drainage sys tem for the return of tissue fluid and
