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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

Examples of glial cells?
Nesh Reply
what is homeostasis
Laura Reply
homeostasis- The ability to maintain relatively stable internal conditions even though the outside world changes continuously. i,e, maintaining normal values in your body such as Adequate blood levels,blood pressure, heart activity and blood pressure.
Williams
thank you
Laura
Give atleast three reasons to study anatomy and physiology
George Reply
It helps to know about the body structure properly and administer proper care for the patient
Opeyemi
what's augmentin
Aphet Reply
augmentin is a type of combination antibiotic.
wintana
Can you explain to Heart anatomy in details please?
Handren Reply
definition of anatomy and physiology
Sardar Reply
Anatomy is the study structure of the body while physiology is the study of function of the body
Ayan
What is a dorsal cavity?
John Reply
Explain in detail mitosis and meiosis
sedeck Reply
What is Sodium Potassium Pump?
Mwamba Reply
The process of moving sodium and potassium ions across the cell membrance is an active transport process involving the hydrolysis of ATP to provide the necessary energy. It involves an enzyme referred to as Na+/K+-ATPase
USAMA
yes men.
Carlos
does it mean that there are two definitions of gross anatomy
Esther Reply
what is anatomy?
Hridy Reply
I think it's the study of the internal and external features of the body and its physical relationship between body parts
Esther
anatomy is the study of all the structure of body parts of living organisms
Kishan
to study the structure of human body parts
Sardar
anatomy is the study of human body
Meena
jaundice causes by when bilirubin blockage of bilary system
mahamed Reply
Yeah, when there is a blockage in the bilary system( bile ducts) which lead to obstruction of the bile pigments called bilirubin leading to a characteristically yellowish appearance of the eyes.
ibrahim
yes
mahamed
there are three main resons why bilirubin levels in the blood may rise: 1. pre-hepatic jaundice,2. hepatic jaundice, 3. post hepatic
mahamed
hi pls what causes jaundice
Umar Reply
where the love feelings emotions and hate lies in the body?
Loving Reply
what is Regional anatomy
Sharon Reply
to study of the interrelationships to all structures of specific body region
Sardar

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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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