normal haemostasis

Beschreibung

Paediatrics (Haematological disorders) Mindmap am normal haemostasis, erstellt von v.djabatey am 21/03/2014.
v.djabatey
Mindmap von v.djabatey, aktualisiert more than 1 year ago
v.djabatey
Erstellt von v.djabatey vor etwa 10 Jahre
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Zusammenfassung der Ressource

normal haemostasis
  1. haemostasis= normal process of blood clotting
    1. occurs via a series of tightly regulated interactions
      1. 5 main components
        1. coagulation factors
          1. made (mainly by liver) in inactive form
            1. activated when coagn initiated
              1. usually by tissue factor (released by vessel injury)
            2. coagulation inhibitors
              1. either circulate in plasma or bound to endothelium
                1. are necessary to prevent widespread coagn throughout the body once coagulatn has been initiated
                2. fibrinolysis
                  1. limits fibrin deposition @ site of injury
                    1. due to activity of plasmin enzyme
                  2. platelets
                    1. vital for haemostasis
                      1. cos they aggregate at sites of vessel injury
                        1. form haemostatic plug (which is then stabilised by fibrin)
                    2. blood vessels
                      1. start and limit coagulation
                        1. intact vascular endothelium secretes prostaglandin I2 & nitric oxide
                          1. promote vasodilatatn & inhibit platelet aggregatn
                          2. damaged endothelium
                            1. releases tissue factor & procoagulants (e.g. collagen & von Willebrand factor)
                              1. has inhibitors of coagulation on endothelial surface (thrombomodulin, antithrombin & protein S)
                        2. coagulation cascade
                          1. endpoint=generation of thrombin
                            1. 2 main pathways to get thrombin
                              1. intrinsic pathway
                                1. extrinsic pathway
                                  1. mostly responsible for starting normal haemostasis & thrombotic disease
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