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After containment of an injury, the tissue repair phase starts with removal of toxins and waste products. Clotting (coagulation) reduces blood loss from damaged blood vessels and forms a network of fibrin proteins that trap blood cells and bind the edges of the wound together. A scab forms when the clot dries, reducing the risk of infection. Sometimes a mixture of dead leukocytes and fluid called pus accumulates in the wound. As healing progresses, fibroblasts from the surrounding connective tissues replace the collagen and extracellular material lost by the injury. Angiogenesis, the growth of new blood vessels, results in vascularization of the new tissue known as granulation tissue. The clot retracts pulling the edges of the wound together, and it slowly dissolves as the tissue is repaired. When a large amount of granulation tissue forms and capillaries disappear, a pale scar is often visible in the healed area. A primary union    describes the healing of a wound where the edges are close together. When there is a gaping wound, it takes longer to refill the area with cells and collagen. The process called secondary union    occurs as the edges of the wound are pulled together by what is called wound contraction    . When a wound is more than one quarter of an inch deep, sutures (stitches) are recommended to promote a primary union and avoid the formation of a disfiguring scar. Regeneration is the addition of new cells of the same type as the ones that were injured ( [link] ).

Tissue healing

This diagram shows the wound healing process in three steps. Each step shows a cross section of wounded skin. The wound extends through the upper layer of skin, labeled the epidermis, about halfway through the dermis, the lower deeper layer of skin. At the base of the cross section, an artery runs horizontally through fatty tissue below the dermis. Several small capillaries branch from the artery and travel into the upper regions of the dermis. In the first step of healing, inflammatory chemicals, symbolized with green dots, are released from the injury site. The chemicals travel through the dermis and enter the horizontal artery. Clotting proteins and plasma proteins also initiate clotting within the wound, forming a scab, which is clearly visible in the second step as a black and brown mass covering the upper regions of the wound. Below the scab, epithelial cells in the epidermis multiply and begin to fill in the wound. In the dermis, three fibrocytes are binding the wound area with white tissue. This tissue is granulation tissue. Laying down granulation tissue restores the vascular supply, as indicated by capillaries growing around the wounded area. In the third step, the scab is gone and the epidermis has grown in and contracted to seal the upper portion of the wound. In the deeper regions, the wound is now completely filled with granulation tissue with is now considered scar tissue.
During wound repair, collagen fibers are laid down randomly by fibroblasts that move into repair the area.

Watch this video to see a hand heal. Over what period of time do you think these images were taken?

Tissue and aging

According to poet Ralph Waldo Emerson, “The surest poison is time.” In fact, biology confirms that many functions of the body decline with age. All the cells, tissues, and organs are affected by senescence, with noticeable variability between individuals owing to different genetic makeup and lifestyles. The outward signs of aging are easily recognizable. The skin and other tissues become thinner and drier, reducing their elasticity, contributing to wrinkles and high blood pressure. Hair turns gray because follicles produce less melanin, the brown pigment of hair and the iris of the eye. The face looks flabby because elastic and collagen fibers decrease in connective tissue and muscle tone is lost. Glasses and hearing aids may become parts of life as the senses slowly deteriorate, all due to reduced elasticity. Overall height decreases as the bones lose calcium and other minerals. With age, fluid decreases in the fibrous cartilage disks intercalated between the vertebrae in the spine. Joints lose cartilage and stiffen. Many tissues, including those in muscles, lose mass through a process called atrophy    . Lumps and rigidity become more widespread. As a consequence, the passageways, blood vessels, and airways become more rigid. The brain and spinal cord lose mass. Nerves do not transmit impulses with the same speed and frequency as in the past. Some loss of thought clarity and memory can accompany aging. More severe problems are not necessarily associated with the aging process and may be symptoms of underlying illness.

Questions & Answers

to know the different structures of the body To know how the body works To know more about our body parts
Deitdre Reply
do you need any explanation when reading this book?
janet Reply
Its Good
Hashir
yes
Balogun
compare and contrast the operation of homeostasis
Dinelle Reply
what is the difference between an ionic, polar covalent and nonpolar covalent bond?
Dinelle
In summary, the bond has different in electronegativity.
Balogun
the definition of distal
Dinelle Reply
farthest away from the attachment point.
felix
exercise physiologist how ?
Noor Reply
can I get the questions of human physiology that is present in HSC 2nd semester
Rafiullah Reply
how can I memorize
mukhtaar Reply
which part of the body produces blood
aadil
give me answer
aadil
Red blood cells are formed in the red bone marrow ofbones. Stem cells in the red bone marrow called hemocytoblasts give rise to all of the formed element
mukhtaar
what is hemocytoblasts
Fatima
hemocytoblasts are stem cells in red bone marrow which give rise the all of formed elements
Khawaja
Discuss clonal theory in physiology and its application in measles infection in a 6yr child? Can anyone help me
Isaac Reply
Capillary permeability
what do you want to know about it?
Ramsin
Hello, I want to search about the topic, information and pictures
syncitium is the property of which of the following muscle
Shahab Reply
can I get the questions of human physiology that is present in HSC 2nd semester
Sai Reply
i now madam
irpa
ha can u please send me the PDF of questions
Sai
it's important to me to have that information please send as fast as u can
Sai
me too if possible?
Ramsin
of course
mukhtaar
I want too
Nazirullah
If a molecule can only pass through a membrane with the assistance of a membrane protein, but the direction of its travel is controlled only by its concentration, the process is called?
osmosis
chozen
A 52 year old woman turned her head quickly, during a tennis game and suddenly felt a sharp pain in her neck along her upper limb. Physical examination and medical imaging revealed a herniated degenerated IV disc in the cervical region of her vertebral column.
Isaac
a. What probably caused the IV disc herniation? b. What cause IV disc degeneration? c. What are the result of disc degeneration?
Isaac
b
Mirasol
Describe the neural control of erection and ejaculation.
Nana Reply
A 52 year old woman turned her head quickly, during a tennis game and suddenly felt a sharp pain in her neck along her upper limb. Physical examination and medical imaging revealed a herniated degenerated IV disc in the cervical region of her vertebral column. a)What probably caused the IV di
Isaac
a) What probably caused the IV disc herniation? b) What cause IV disc degeneration? c) What are the result of disc degeneration?
Isaac
iv disc herniation compress the nerve cause numbness tingling sensation even paralysis in severe cases...
Khawaja
explain more
DANIELLA Reply
yes
Ramzan
function of skeleton
Josiah Reply
- for movement - blood production by the bone marrow
Daniel
production of calsium and phosphorus
Juma
Shortly after childbirth, a woman consulted her physician about a tender swelling in her perineal region. 8. What fossa related the perineal swelling? 9. Describe what vessel may cause the collection of blood in the fossa after childbirth?
Isaac

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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