DAY IN MY LIFE OF THROMBUS /FATE OF THROMBUS?
FATE OF THROMBI
Lets have a sneak peak of how thrombi(blood clot) usually spends its precious time in our body.
Either of these 4 jobs is what thrombi usually does :
RESOLUTION,ORGANISATION ,PROPOGATION AND THROMBOEMBOLISM .
STUDENTS CORNER:
Before getting into the topic we must understand a few terminologies to get a picture of how thrombus spends its day: firstly what is Thrombosis's a process of formation of solid mass in circulation from flowing blood .
- Mass itself is known as thrombus.
- Progression of thrombus is what is meant by fate of thrombus.
RESOLUTION/DISSOLUTION:
- Thrombus activate fibrinolytic system to release plasmin ,this plasmin dissolve the thrombus which results in RESOLUTION
- Small venous thrombi undergoes complete lysis
- Large thrombi may not be dissolved
- The fibrinolytic activity is usually accentuated by UROKINASE,STREPTOKINASE.
ORGANISATION:
- If thrombus is not removed it starts getting organized
- Phagocytic cells such as neutrophils and macrophages begin to phagocytose fibrin and cell debris
- Leucocytes and endothelial cells liberate proteolytic enzymes which start digesting coagulum.
- Capillaries grow into the thrombus, Fibroblast invades thrombus thus fibrovascular granulation tissue is formed which subsequently becomes dense and less vascular and is covered over by endothelial cells
- This way thrombus is excluded from vascular lumen and is made part of vessel wall
- The new vascular channel in it may re-establish the blood flow by recanalization
- This fibroses thrombus may also undergo hyalinization and calcification
PROPAGATION:
- The thrombus may enlarge in size due to more and more deposition from the constituents of flowing blood
- This might ultimately results in obstruction of vessel wall.
THROMBOEMBOLISM
- Thrombi in its initial stage and infected thrombi are quite friable and may get detached from the vessel wall
- These are released in part or completely in blood stream as emboli which produce effect according to its site of lodgment.
CONCLUSION:
Vanakam my dear stencildent family here in this post we have just seen a birds view of fate of thrombus /day in its life but to know about its etiopathogenesis,virchows triad then do let me know in the comment section below as that would greatly motivate me to post more content .
Thank you
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AUTHOR :
DR.AKARNA.R
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