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Morphological characteristic of premature infants’s kidneys with opened Ductus Arteriosis (by the autopsy). 早产儿肾动脉导管开放性的形态学特征(尸检)。
Pub Date : 2021-12-28 DOI: 10.26641/1997-9665.2021.1.28-38
T. Borysova, I. Tverdokhlib, O. Obolonska, A. Korolenko, K. Diahovets, D. Surkov, T. Usenko
Background. Kidney has protracted nephrogenesis and depend on hemodynamic changes on the highest level in support of natural transition to extrauterine circulation. Fetal communications like Ductus Arteriosus take part in the shunting from the aorta to the pulmonary artery. Increase of this shunting of the blood leads to hyperperfusion with hypoxic changes of some development systems of organs with protracted morphogenesis so like kidneys. Objective. To determine the features of postnatal morphogenesis of the kidneys in premature infants with a gestational age of 25 to 35 weeks on the background of an open ductus arteriosus. Methods. 21 autopsy material premature infant’s kidney which were fixed by 10%-formalin and then were subjected to the standard histological procedures. Slides were stained by hematoxylin and eosin. We used the complex of histological and morphometric methods. There were created 3-demenshional models of kidney’s fragments. We carried out biometrical and statistical analysis. Results. During our research it was determines that the changes of the volume of the functional parenchyma of the kidney and the diameter of the Ductus Arteriosus became in inverse relationship. The wider the duct the smaller the volume of the functional parenchyma because of atrophic and necrotic changes during the late stages of glomerulo- and tubulogenesis. These changes could be distinguished by the quantitative density of development on three germinate layers of the cortex of kidney. Сonclusion. Summing up, it determined the retardation of glomerulogenesis particularly superficial area of the cortex because of the opened Ductus Arteriosus.
背景。肾脏的肾形成具有延续性,并依赖于最高水平的血流动力学变化,以支持自然过渡到子宫外循环。像动脉导管这样的胎儿交通参与了从主动脉到肺动脉的分流。这种血液分流的增加导致一些器官发育系统的高灌注和缺氧改变,这些器官的形态发生时间较长,如肾脏。目标。目的探讨在动脉导管通畅的情况下,胎龄在25 ~ 35周的早产儿出生后肾脏形态发生的特点。方法:采用10%福尔马林固定早产儿肾标本21例,采用标准组织学方法。切片采用苏木精和伊红染色。我们采用了组织学和形态计量学的综合方法。建立了肾脏碎片的三维模型。我们进行了生物识别和统计分析。结果。在我们的研究中发现肾脏功能实质体积的变化与动脉导管直径呈反比关系。在肾小球和小管形成的后期,由于萎缩和坏死的改变,导管越宽,功能实质的体积越小。这些变化可以通过肾皮层三个萌发层发育的数量密度来区分。Сonclusion。综上所述,它决定了肾小球形成的迟缓,特别是皮层的浅表区域,因为动脉导管的打开。
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引用次数: 0
Assessment of bioscompatibility of isocyanurate-containing polyurethanes with ifosphamide by in vivo and in vitro methods. 用体内和体外方法评价含异氰酸酯聚氨酯与异磷酰胺的生物相容性。
Pub Date : 2021-12-28 DOI: 10.26641/1997-9665.2021.1.39-47
N. Galatenko, D. Kuliesh, R. Rozhnova, V. Gritsenko, L. Narazhayko
Background. The creation of polymeric composite materials with pronounced biological activity, which are able to act as implants with local prolonged action of the immobilized substance can be widely used in medical practice. Objective. Study of cellular reactions of surrounding tissues of experimental animals to implantation of polymeric composite materials based on isocyanurate-containing polyurethanes with ifosfamide, study of histotoxicity of the obtained materials by tissue culture method. Methods. Polymeric composite materials based on isocyanate-containing polyurethanes without and with ifosfamide were implanted into the body of white laboratory Wistar rats. Cellular responses of the organism and possible changes in the structure of test specimens after implantation were studied by light microscopy by analysis of histological micropreparations. In order to study the peculiarities of the dynamics of growth and development of fibroblastic elements, the method of tissue culture was used. Results. Conducted biological studies by in vivo and in vitro methods allowed to evaluate the effect of immobilized ifosfamide in the structure of isocyanurate-containing polyurethanes on cellular reactions of surrounding tissues during implantation in experimental animals, as well as the effect of extracts from developed polymer samples on cultured cell growth. Conclusion. It was found that the implantation of isocyanurate-containing polyurethanes with ifosfamide led to the development of intense cellular reactions in the area of implant placement, primarily the reaction of round cell elements. The presence of ifosfamide in the structure of the polymeric implantation material probably affected the proliferation of cellular elements, inhibited regenerative processes in the early stages of the study and delayed the formation of a mature connective tissue capsule around the implanted samples. The tissue culture method showed that when making an extract of isocyanurate-containing polyurethanes with ifosfamide in the culture medium, there was a large variability of cell forms, which led to the appearance of macrophage-like elements.
背景。具有明显生物活性的高分子复合材料的制备,能够作为植入物,具有固定物质的局部延长作用,可广泛应用于医疗实践。目标。用异环磷酰胺植入含异氰酸酯聚氨酯聚合物复合材料,研究实验动物周围组织的细胞反应,用组织培养法研究所得材料的组织毒性。方法。以不含异环磷酰胺和含异环磷酰胺的含异氰酸酯聚氨酯为基础的聚合物复合材料植入白色实验室Wistar大鼠体内。通过显微组织学分析,在光学显微镜下研究了植入后生物体的细胞反应和试件结构可能发生的变化。为了研究成纤维细胞生长发育的动力学特性,采用组织培养的方法。结果。通过体内和体外方法进行生物学研究,评估在实验动物体内植入含异氰酸酯聚氨酯结构中固定化异环磷酰胺对周围组织细胞反应的影响,以及开发的聚合物样品提取物对培养细胞生长的影响。结论。结果发现,含异氰酸酯的聚氨酯与异环磷酰胺的植入导致植入区发生强烈的细胞反应,主要是圆形细胞元素的反应。聚合物植入材料结构中异环磷酰胺的存在可能会影响细胞元件的增殖,在研究的早期阶段抑制再生过程,并延迟植入样品周围成熟结缔组织囊的形成。组织培养方法表明,当用异环磷酰胺在培养基中提取含异氰尿酸酯的聚氨酯时,细胞形态有很大的变化,导致巨噬细胞样元素的出现。
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引用次数: 0
The role of vascular injury within the conditions of choline deficiency in rats with scopolamine-induced alzheimer's type dementia 东莨菪碱诱导的阿尔茨海默型痴呆大鼠胆碱缺乏条件下血管损伤的作用
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.66-75
G. Gubina-Vakulik, Y. Zorenko
Background. The relationship between choline deficiency and vascular dysfunction continues to be relevant in the study of Alzheimer's disease. Objective. To study the morphological characteristics of vascular injury within the conditions of choline deficiency in rats with scopolamine-induced Alzheimer's type dementia. Methods. The experiment was performed on 48 WAG population male rats weighing 180-230 gr. Rats from groups Scop-14, Scop-14-SC, Scop-28, Scop-28-SC were injected intraperitoneally with scopolamine (Scop) butylbromide at a dosage of 1 mg/kg of body mass during 14 and 28 days and intravenously with mesenchymal stem cells (SC) at a single dosage of 500000 cells per 1 rat. Control animals (gr.C) were injected with 0.9% sodium chloride. Brain slides were stained with Congo-red and gallocyanine-chromium alum according to Einarson's method for total nucleic acids. The VEGF, E-cadherin expression was immunohistochemically determined in the brain cells cytoplasm. Results. The congophilic staining of the arteries walls, a decrease in endothelial cells with low the E-cadherin expression and an increase in the number of pericytes in the capillary wall was observed in the experimental groups. In gr.Scop-28 VEGF expression in endothelial cells, hippocampal neurons was greater than in gr.Scop-14. It indicated more intensive activation of angiogenesis and acetylcholine synthesis with correspondingly more pronounced vascular damage and choline deficiency. The cytoplasm of cortical neurons was diffusely labeled with VEGF antibodies in response to hypoxia, but the level of expression was almost no different from that in gr.C. In all groups, the optical density of the neuropile of the large hemispheres according to Einarson’s staining was reduced, i.e., the level of RNA in the neuronal processes was reduced. The introduction of stem cells restored the capillary wall due to young endothelial cells, reduced the VEFG synthesis in all studied cells and increased the RNA content in neuronal processes. Conclusion. The relationship between choline deficiency, neuronal process loss and vascular damage has been found. The blood vessels self-repair was occurred by substitution, after the stem cells introduction - by restitution.
背景。胆碱缺乏与血管功能障碍之间的关系继续与阿尔茨海默病的研究相关。目标。研究东莨菪碱诱导的阿尔茨海默型痴呆大鼠胆碱缺乏状态下血管损伤的形态学特征。方法。实验以48只体重180-230克的WAG种群雄性大鼠为实验对象。在第14天和第28天,分别以1 mg/kg体重腹腔注射scopi -14-SC、scopi -28、scopi -28-SC组大鼠,并以每只大鼠50万个细胞的单次剂量静脉注射间充质干细胞(SC)。对照组动物(gr.C)注射0.9%氯化钠。用刚果红和没食子菁铬明矾染色,按照艾纳逊总核酸法。免疫组化法检测脑组织细胞质中VEGF、E-cadherin的表达。结果。实验组动脉壁呈嗜嗜性染色,内皮细胞减少,E-cadherin表达低,毛细血管壁周细胞数量增加。VEGF在内皮细胞、海马神经元中的表达高于gr. scope -14。它表明血管生成和乙酰胆碱合成的激活更强烈,相应的血管损伤和胆碱缺乏更明显。缺氧反应下皮质神经元胞质弥漫性标记VEGF抗体,但表达水平与gr.C无明显差异。在所有组中,根据Einarson染色,大半球神经堆的光密度降低,即神经元过程中的RNA水平降低。由于内皮细胞年轻,干细胞的引入恢复了毛细血管壁,减少了所有研究细胞中VEFG的合成,增加了神经元过程中的RNA含量。结论。胆碱缺乏与神经元过程丧失和血管损伤之间的关系已被发现。血管的自我修复是通过替代的方式进行的,在干细胞引入后,通过修复。
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引用次数: 0
Features of angioarchitectonics and structure of the aortic wall of white rats in the early stages of experimental diabetes mellitus 实验性糖尿病早期大鼠血管构筑学及主动脉壁结构特征
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.167-174
M.N. Tsytovskyi, M. Logash, I. Savka, G. Dmytriv
Background. Atherosclerotic cardiovascular diseases, as well as coronary heart disease, cerebrovascular disease, and peripheral artery disease (probably caused by atherosclerosis), are the leading cause of disability and mortality in people with diabetes. Objective. The purpose of our study was to determine the histostructural features and morphometric analysis of the components of the aortic wall and its hemomicrocirculatory bed after 2 and 4 weeks of streptozotocin-induced diabetes mellitus. Methods. The samples for the histology were the sections of the wall of the ascending part, the aortic arch, and the descending part of the aorta of 26 mature white male rats weighing 100 - 160 g. For morphometric examination, a series of images of the aortic wall was taken using a Meiji MT4300 LED microscope with an x40 objective, x10 eyepiece. Results and conclusion. The measurements were carried out using the ImageJ software. The development of micro- and macroangiopathies in experimental animals with 8-week streptozotocin-induced diabetes mellitus was histologically proved. Statistical analysis revealed a significant difference of all morphometric parameters of both - the components of the aortic wall and the vessels of its hemomicrocirculatory bed after 4 weeks of experimental diabetes in comparison with the norm, control, and the 2-nd week of the experiment. An explicit dependency of the severity of destructive changes in the wall of the aorta and links of its hemomicrocirculatory bed of vessels on the duration of the experiment was determined.
背景。动脉粥样硬化性心血管疾病以及冠心病、脑血管疾病和外周动脉疾病(可能由动脉粥样硬化引起)是糖尿病患者致残和死亡的主要原因。目标。本研究的目的是研究链脲佐菌素诱导的糖尿病患者在2周和4周后主动脉壁及其血液微循环床的组织结构特征和形态计量学分析。方法。组织学标本为26只体重100 ~ 160 g的成年雄性白种大鼠主动脉升段、主动脉弓和降段的壁切片。形态学检查使用Meiji MT4300 LED显微镜,x40物镜,x10目镜拍摄一系列主动脉壁图像。结果与结论。使用ImageJ软件进行测量。经组织学证实,8周链脲佐菌素诱导的糖尿病实验动物发生了微血管病变和大血管病变。统计分析显示,实验糖尿病4周后,与正常、对照组和实验第2周相比,主动脉壁成分和血液微循环床血管的所有形态计量参数均有显著差异。确定了实验持续时间对主动脉壁及其血液微循环床血管连接的破坏性变化的严重程度的明确依赖性。
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引用次数: 0
Topographic and anatomical features of muscular and vascular structures in lateral cervical region during prenatal period of human ontogenesis 人胎儿期宫颈外侧肌肉和血管结构的地形和解剖特征
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.162-166
O. Tsyhykalo, I. Popova, A. Khodorovska, G. M. Chernikova
Background. One of topical areas of morphological research is features of topographic a relationships of the vascular, nervous, muscular, fascial and cartilaginous structures of the neck in prenatal period of human ontogenesis, as data on their formation at different stages of development will improve diagnostic methods of visualization and surgical correction of congenital and acquired pathologies of head and neck. Objective. To find out the peculiarities of synthopia of vascular and muscular structures of the lateral cervical region in human prefetuses. Methods. 9 human prenatal specimens aged 9-12 weeks of prenatal development have been studied by using a set of morphological methods, according to existing bioethical norms. Results. During 9th week of development, bony and musclar boundaries of the lateral triangle of the neck, the carotid vagina, and the components of the vascular-nervous bundle of the neck have been determined. Within the carotid triangle, the external carotid artery is located superficially; it is crossed frontally by the cervical branch of facial nerve and the sublingual nerve. The superior thyroid artery departs from the external carotid artery at the level of the cartilaginous model of the large horns of hyoid bone and passes to the rudiment of thyroid gland. Retropharyngeal space is found at 9th week of development, moderately filled with adipose tissue. The anterior vertebral plate of the cervical fascia forms the bottom for posterior triangle of neck. Conclusion. The lateral cervical region in human prefetuses is represented by a multilayered topographic zone with formed boundaries and contents. Cervical fascia forms carotid vagina within the carotid triangle, and pharyngeal space. The course of blood vessels and nerves within the lateral cervical region is variable. Three-dimensional reconstructions of prefetuses serve as evidence of the early formation of definitive topographic connections within early bony and cartilaginous models in relation to the muscles of the anterior and lateral cervical regions.
背景。形态学研究的热点领域之一是人类个体发育产前颈部血管、神经、肌肉、筋膜和软骨结构的地形特征和关系,因为它们在不同发育阶段的形成数据将改善头颈部先天性和获得性病理的可视化诊断方法和手术矫正。目标。目的探讨人前胎颈外侧区血管和肌肉结构合视的特点。方法:根据现有的生物伦理学规范,采用一套形态学方法对9例9-12周的人产前标本进行了研究。结果。在发育的第9周,已经确定了颈部外侧三角、阴道颈动脉和颈部血管神经束的组成部分的骨和肌肉边界。在颈动脉三角内,颈外动脉位于表面;它由面神经颈支和舌下神经在正面交叉。甲状腺上动脉在舌骨大角软骨模型的水平上离开颈外动脉并进入甲状腺的雏形。在发育的第9周发现咽后间隙,适度充满脂肪组织。颈筋膜前椎板构成颈后三角的底部。结论。人前胎的侧宫颈区域是由一个具有形成边界和内容的多层地形区来表示的。颈筋膜在颈动脉三角内形成颈动脉阴道和咽间隙。颈侧区血管和神经的路线是可变的。前胎的三维重建可作为早期骨和软骨模型中与颈椎前部和外侧肌肉相关的明确地形连接早期形成的证据。
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引用次数: 0
The experience of organizing the educational process at the Department of Human Anatomy of the Dnieper State Medical University in terms of distance learning 在第聂伯河国立医科大学人体解剖系组织远程学习教育过程的经验
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.187-190
G. V. Dovhal, M. Zharikov, M. Dovhal
This article presents a model of classes and assessment on the subject of human anatomy and a comparative analysis of performance in full-time and distance education and assessment on the example of students studying at the Department of Human Anatomy DSMU, specialty "Medicine". The main principles and advantages of this model are: 1) the complexity of teaching material and assessment, which covers all teaching aids and types of control, as well as standardization of teaching material; 2) absolute equality and impartiality of control through the use of standardized questions in the use of computer testing, as well as the use of clear transparent evaluation criteria; 3) round-the-clock availability of content for self-preparation and self-examination, as well as information on student performance; 4) the possibility of equivalent use of the model in both full-time and distance learning. Thus, the described model corresponds to the modern principles of higher education and can be offered for introduction in the divisions of higher educational institutions, both in full-time and distance learning.
本文提出了一种人体解剖学科的课堂与评估模式,并以我校人体解剖学系医学专业学生为例,对全日制与远程教育的教学效果和评估进行了比较分析。该模式的主要原则和优点是:1)教材和评估的复杂性,涵盖了所有教具和类型的控制,以及教材的标准化;2)通过在使用计算机测试中使用标准化问题,以及使用清晰透明的评估标准,实现绝对平等和公正的控制;3) 24小时提供自学和自考内容,以及学生成绩信息;4)在全日制和远程学习中等效使用该模型的可能性。因此,所描述的模型符合高等教育的现代原则,可以提供给高等教育机构的部门,在全日制和远程学习中引入。
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引用次数: 0
Comparative characteristics of changes in subchondral bone of rats after antenatal glucocorticoid administration and modeling of osteoporosis 产前糖皮质激素给药与骨质疏松模型大鼠软骨下骨变化的比较特征
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.62-65
O. Hryhorieva, P. Bohdanov, T. Matvieishyna, E.R. Skakovskiy
Background. Osteoporosis is a progressive systemic bone disease that results in decreased bone mineral density and, as a result, increases the risk of bone fractures. Changes that occur in the subchondral bone in osteoporosis or because of hormones can cause degenerative changes in the articular cartilage that underlie osteoarthritis. Objective. The aim of the study was to identify and compare morphological changes that occur in the subchondral bone in experimental simulations of osteoporosis and in adult rats that were born from females that were exposed to glucocorticoid solution administration in the 3rd trimester of pregnancy. Methods. Tibias of 26 white mature laboratory rats were studied. In serial sections, the relative areas occupied by bone trabeculae and lacunae were calculated. Results. The relative area involving the bone trabeculae (23,2 ± 3,70%) statistically significantly decreased at 21 day in the group of animals that undergone a simulation of osteoporosis in comparison with the control group. Similar changes are observed in the group of experimental animals that were born from females that were exposed to glucocorticoid solution administration in the 3rd trimester of pregnancy. Conclusion. Thus, the results of the study demonstrate the similarity of morphological changes occurring in the subchondral bone in rats that undergone a simulation of osteoporosis and rats that were born from females that were exposed to glucocorticoid solution administration in the 3rd trimester of pregnancy.
背景。骨质疏松症是一种进行性全身性骨病,可导致骨密度降低,从而增加骨折的风险。骨质疏松症或激素引起的软骨下骨变化可导致骨性关节炎的关节软骨退行性变化。目标。本研究的目的是鉴别和比较骨质疏松症实验模拟和妊娠晚期暴露于糖皮质激素溶液的雌性大鼠所生的成年大鼠软骨下骨的形态学变化。方法。对26只成年白鼠的胫骨进行了研究。在连续切片中,计算骨小梁和骨陷窝的相对面积。结果。与对照组相比,骨质疏松模拟组21天涉及骨小梁的相对面积(23.2±3.70%)有统计学意义上显著减少。在妊娠晚期暴露于糖皮质激素溶液的雌性所生的实验动物组中也观察到类似的变化。结论。因此,本研究结果表明,模拟骨质疏松的大鼠与妊娠晚期暴露于糖皮质激素溶液的雌性大鼠所生的大鼠在软骨下骨发生的形态学变化是相似的。
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引用次数: 0
Ultrastructural characteristics of the rats laryngeal mucosa and cartilage on the 7 and 14 days of the experimental opioid effect 阿片作用后第7天和第14天大鼠喉部粘膜和软骨的超微结构特征
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.89-95
K. Ivasivka, Y. Paltov, Z. Z. Masna, I. Chelpanova, O. Dudok
Background and objective. Our main task was to study the ultrastructural organization of the laryngeal mucosa and cartilage on the seventh and fourteenth day of opioid exposure. Methods. The material for the study were mature, outbred male rats in the number of 32 animals, weighing 80g, aged 4.5 months. Animals were injected intramuscularly with Nalbuphine once a day at the same time (10-11 hours in the morning) for 14 days. The initial dose of Nalbuphine was 8 mg / kg during the first week, 15 mg / kg during the second week of the experimental study. Thus, we created the conditions for chronic opioid exposure. Animals were divided into 3 experimental groups: 1 – control group; 2 - animals that received the drug for 7 days; 3 - animals that received the drug for 14 days). All animals were kept in a vivarium. Animal care, labeling and all other manipulations were carried out taking into account the issues of bioethical norms. Before collecting necropsy material, the animal was removed from the experiment with diethyl ether. The the larynx mucosa and rats cartilage were used as the material for ultrastructural examination. Ultrastructural capsule was prepared according to conventional methods. Results. As a result of experimental opioid exposure at the end of 7 days we found alternative changes in the epithelial cells of different parts of the larynx, dyscirculatory changes in blood vessels of lamina propria and submucosa, as well as the destruction of chondrocytes of hyaline and elastic cartilages. The hemocapillaries of lamina propria and submucosa, especially in the ventricles of the larynx and in the subchondral region, were dilated, overflowing with erythrocytes. In the laryngeal mucosa and submucosal base of the laryngeal ventricles, in addition to the overflow of hemocapillaries with erythrocytes, a moderate accumulation of perivascular transudate was noted. At the end of the 14th day of the experimental opioid effect, a pronounced hemocapillaries injury was found, which was accompanied by an increase in the permeability of the vascular wall. In addition to blood plasma, erythrocytes were visualized in the enlarged lumens of hemocapillaries. The development of degenerative changes of endothelial cells, which were accompanied by inhomogeneous dilation of the tubules of the smooth and granular endoplasmic reticulum, was noted. The main substance of the connective tissue of the mucous membrane and submucosal base, especially around the vessels was impregnated with transudate.
背景和目的。我们的主要任务是研究阿片类药物暴露第7天和第14天喉部粘膜和软骨的超微结构组织。方法。本研究的材料是32只成熟的、近亲繁殖的雄性大鼠,体重80g,年龄4.5个月。每天1次(上午10-11小时)同时肌注纳布芬,连续14天。实验研究第一周起始剂量为8mg / kg,第二周起始剂量为15mg / kg。因此,我们创造了慢性阿片类药物暴露的条件。将动物分为3个实验组:1 -对照组;2 -给药7天的动物;3 -接受药物治疗14天的动物)。所有的动物都饲养在动物笼里。动物护理、标签和所有其他操作都是在考虑生物伦理规范的情况下进行的。在收集尸检材料之前,用乙醚将动物从实验中移除。以喉黏膜和大鼠软骨为材料进行超微结构检查。采用常规方法制备超微结构胶囊。结果。实验7天结束时,我们发现喉部不同部位上皮细胞的变化,固有层和粘膜下层血管的循环障碍,透明软骨和弹性软骨软骨细胞的破坏。固有层和粘膜下层的毛细血管,特别是喉室和软骨下的毛细血管扩张,红细胞充盈。在喉黏膜和喉脑室的粘膜下基底,除了血红细胞的毛细血管溢出外,还注意到血管周围渗出物的中度积聚。在实验阿片效应第14天结束时,发现明显的毛细血管损伤,并伴有血管壁通透性增加。除血浆外,在增大的毛细血管腔内可见红细胞。注意到内皮细胞退行性改变的发展,伴随着光滑和颗粒内质网小管的不均匀扩张。粘膜结缔组织和粘膜下基底的主要物质,特别是血管周围浸渍了渗出物。
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引用次数: 0
An analysis of the pathological states of pregnant women in ante-intranatal fetal death in kharkov during 2016-2019 哈尔科夫市2016-2019年产前胎儿死亡孕妇病理状态分析
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.180-186
S. Sherstiuk, O. Zats, O. Naumova, L. Sherstiuk, S. Panov
Background. In Ukraine among perinatal losses, a high proportion of stillbirth remains, the level of which depends on many factors, including the presence of somatic and genital pathology in a woman, pathological conditions during pregnancy, including eclampsia (PE), iron deficiency anemia of pregnant women (IDA), chorioamnionitis (CA). These conditions can be combined with each other, which increases the risk of fetal death during pregnancy or childbirth. Objective. To conduct a somatic and gynecological diseases, complications of pregnancy in pregnant women with preeclampsia (PE), iron deficiency anemia (IDA) and chorioamnionitis (CA), whose pregnancy ended in ante-intrapartum fetal death at 30-40 weeks of gestation. Methods. We investigated 58 cases of stillbirth at 30-40 weeks of gestation from pregnant women with PE (n = 16), IDA (n = 16), CA (n = 26) on the basis of the Communal non-profit enterprise "City Perinatal Center "Kharkov. The clinical data of the mothers, the protocols of the pathological examination of the placenta were studied. Results. Based on the study, it was found that in women whose pregnancy was complicated by PE and IDA, the most frequent types of somatic pathology were hypertensive disorders (32% and 12.5%, respectively) and chronic diseases of the digestive system. (25% and 12.5%, respectively), among gynecological diseases, uterine leiomyoma and endocervicosis were more common, among complications of pregnancy and childbirth - premature birth (50% each, respectively) pathology of the placenta (50% and 68.8%, respectively) and disorders of the content amniotic fluid (31.3% and 18.8%, respectively).The extragenital pathology in pregnant women with CA was presented with the infectious diseases (30.7%), an acute respiratory viral infections (19.2%), the cardiovascular pathology (11.5%), and the chronic inflammatory diseases of various localization (7.6%). The most frequency gynecological pathology were inflammatory genital diseases (23.21%). The pregnancy and labor were often complicated with the placental pathology (50%), premature birth (38.5%), preeclampsia (19.2%), and anemia (19.2%). During pregnancy, placental dysfunction diagnosed only in 31.3% of cases with PE, 25% with IDA and 3.8% with CA, but in pathological examination, morphological signs of placental insufficiency recorded in almost every case of all groups. Conclusion. In pregnancy, aggravated by PE, IDA or CA, the presence of extragenital pathology, gynecological diseases, and other complications of pregnancy were additional factors that increased the severity of placental insufficiency and fetal hypoxia, which was the cause of its death. Timely diagnosis of placental dysfunction and the implementation of therapeutic measures aimed at reducing the associated negative impact on the fetus can help reduce perinatal mortality.
背景。在乌克兰的围产期死亡中,死产的比例仍然很高,死产的水平取决于许多因素,包括妇女是否存在身体和生殖器病理,怀孕期间的病理状况,包括子痫(PE)、孕妇缺铁性贫血(IDA)、绒毛膜羊膜炎(CA)。这些情况可相互合并,从而增加妊娠或分娩期间胎儿死亡的风险。目标。对妊娠期30-40周发生子痫前期(PE)、缺铁性贫血(IDA)和绒毛膜羊膜炎(CA)的孕妇进行躯体和妇科疾病、妊娠并发症的研究。方法。我们调查了58例妊娠30-40周死产的孕妇PE (n = 16), IDA (n = 16), CA (n = 26)在公共非营利企业“城市围产期中心”哈尔科夫。对产妇的临床资料和胎盘病理检查方案进行了研究。结果。本研究发现,在妊娠合并PE和IDA的女性中,最常见的躯体病理类型是高血压疾病(分别为32%和12.5%)和消化系统慢性疾病。(分别占25%和12.5%),在妇科疾病中,子宫平滑肌瘤和宫颈内膜病更为常见,在妊娠和分娩并发症-早产(各占50%)中,胎盘病理(各占50%和68.8%)和羊水内容物疾病(各占31.3%和18.8%)更为常见。CA孕妇的外阴病理表现为感染性疾病(30.7%)、急性呼吸道病毒感染(19.2%)、心血管病理(11.5%)和不同部位的慢性炎性疾病(7.6%)。最常见的妇科病理是炎症性生殖疾病(23.21%)。妊娠和分娩常合并胎盘病理(50%)、早产(38.5%)、先兆子痫(19.2%)和贫血(19.2%)。妊娠期PE、IDA和CA诊断为胎盘功能障碍的分别为31.3%、25%和3.8%,但在病理检查中,几乎所有组均有胎盘功能不全的形态学征象。结论。在妊娠期,PE、IDA或CA加重,外阴病理、妇科疾病和其他妊娠并发症的存在增加了胎盘功能不全和胎儿缺氧的严重程度,这是导致其死亡的原因。胎盘功能障碍的及时诊断和治疗措施的实施旨在减少对胎儿的相关负面影响,有助于降低围产期死亡率。
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引用次数: 0
Morphofunctional state of the medulla and the fascicular zone of the adrenal cortex in modeling Alzheimer's disease by excessive administration of sodium nitrite 过量亚硝酸钠在模拟阿尔茨海默病中的髓质和肾上腺皮质束带形态功能状态
Pub Date : 2021-12-25 DOI: 10.26641/1997-9665.2021.3.76-83
G. Gubina-Vakulyck, S. A. Denysenko, T. Gorbach, Y. Zorenko, V.S. Goydina
Background. Nitrates and nitrites are found in soil, water, human food, dyes, and medicines. In the literature, both positive and negative effects from the ingestion of nitrates and nitrites into the body are considered. A nitrite model of Alzheimer's type dementia of vascular origin was used in the work. Objective. The aim of the study was to study the morphofunctional state of the adrenal glands of experimental animals with prolonged administration of sodium nitrite. The study was carried out on male rats of the WAG population, which were divided into 3 groups: gr. N-14 - received injections of a water solution of sodium nitrite at a dose of 50 mg / kg of body weight daily for 14 days; gr. N-28 - Rats received similar injections for 28 days. Injections are intraperitoneal. Control rats were injected with 0.9% sodium chloride solution. Results. In animals of the main groups, the formation of a morphofunctional picture of the development of a stress reaction takes place, which was also confirmed morphometrically, and in group N-28 - with signs of incipient decompensation of the medulla and the fascicular zone of the adrenal cortex. Conclusion. When simulating Alzheimer's disease in laboratory rats by the introduction of a water solution of sodium nitrite at a dose of 50 mg / kg of body weight by daily intraperitoneal injection for 14 and 28 days, a picture of their morphofunctional activation is formed in the medulla and fascicular zone of the adrenal cortex. In the group with a 28-day course of administration of sodium nitrite solution, morphofunctional signs of decompensation of the medulla and the fascicular zone of the adrenal glands (especially the medulla) appear, which indicates the development of severe distress in animals and the impossibility of restoring homeostasis.
背景。硝酸盐和亚硝酸盐存在于土壤、水、人类食物、染料和药物中。在文献中,从摄入硝酸盐和亚硝酸盐到体内的积极和消极的影响都被考虑。研究中采用了血管源性阿尔茨海默氏型痴呆的亚硝酸盐模型。目标。本研究的目的是研究长期给药亚硝酸钠对实验动物肾上腺形态功能的影响。研究对象为WAG种群雄性大鼠,分为3组:N-14组,每天注射亚硝酸钠水溶液,剂量为50 mg / kg体重,连续14天;gr. N-28 -大鼠同样注射28天。注射是腹腔注射。对照组大鼠注射0.9%氯化钠溶液。结果。在主要组的动物中,形成了应激反应发展的形态功能图,这也得到了形态计量学的证实,在N-28组中,出现了髓质和肾上腺皮质束带早期失代偿的迹象。结论。在模拟实验室大鼠阿尔茨海默病的实验中,每天以50 mg / kg体重的剂量注入亚硝酸钠水溶液,连续14天和28天,在肾上腺皮质的髓质和束状带形成了它们的形态功能激活图。给药28天的亚硝酸钠组出现髓质和肾上腺束带(尤其是髓质)失代偿的形态功能迹象,表明动物出现严重的应激,体内平衡无法恢复。
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Morphologia
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