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REWELL
PHA
Unit
CAREWELL PHARMA
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of 33
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WEL
Y
Page No.
Dasi Principles
of lelLJnjury-
and ddoblation
elnjuYyoben a
cull_enlounlus_a vaieiy o
Sinsseclue o chang in inieYnallas
oell exionaunuiromuni,1t leady b_ull injYY
Cux bocdy
cll baue inbuit mtthanium lo deas
th udkious nuixomehial chanq Ihe Rsponse
ohe ll lo,slxtssdebendsonMo VaYLables
úshich ybe of ells_and lissue ayeihwliurd.
Uuxadion andupe oinju
be sponsesolhe lltoinjuuy my be
1Revexaibl Lell iniuyySometimesiniuLd l
Louerecd bach 1 kest nmild to modual
Thi i XnoLan a xevexaible.
ell inu-
xnexible («llinjuy sss vexySevLse
land priuteni Lellnsdy dird Thi is buna
essible cll iniury NeLxasis and Hpoptasi
3.lulax ldapladlonsisomt li adapt to ihe
hang oheh ihex isinxeaedun dional
dempindand Hhtn yeueT bac io normalsiale
xsis tmoued his s Anozon allulax
Ciclapioiion t4Hfophyhyhr Iiophy huþeplaia,
hiablasia ind 6lysp1asia
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MA
.PHA
CAREWELL PHARMA
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REWELL
PHA
WEI
ate
OPageNo
Cause o in
he cauuLLOL both eey.shle. Ci xe.ueYLble
Cel injuYY_akeSimilar lany O Iht 9Len
belos m yRSult initially inYeveYlbr
njy he. iniury is6SuuitnT See
Hhe YaLhes oini s ná Yelun ad
IYXEVeXShleiniuyyhul minajingih tldcath
Loi oCuY assiHe CausE 6 &ll inuiy 1ndud
1HybOxÍOand sbaemia L
2. PhiLal cGrni
3 munaladiLal',aqin
hemigal agtnisand Dhug
5 iabial acon
6. thsloqical Jalo
7 N idml imbalante
2 neliu deungtmenls
1Hpoia qe Larmia.Hyoxia iione ohe
mal imboxianT (au tll inuy icind
cell elealK Hybouia i dilienio lhatminf
shicb i lauablbod lou o and hereloxe
Oxygenalion Oflhe tiuug In lon lyaT to
b iaduring shich glytolulirehexq
lbSdulioncan (oninutchdenia coprisu
he aunilabiliy omla bolitSuhsiaps
nuding qluhig muaLadialkuhacmia
ecucd bcd lots cihereore
yqtnalion 0he htartJasa sksult o
tenayy arltyalher Oicltiosis
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Credits-Jaspreet Kaur
PHA
CAREWELL PHARMA
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ADate:
O Page No.
"********
bysiLa agenis axious bhyical agirls which
Oxexsponible or cel jnitny intuce iyaumá
hrat coldLhan
and adiationssuch asSun buan,due do UU-
ghi doamaq
bihe sbin
Sh_almos pheyiL pressure
mmunalçqical qqtnis Immune SYlem_StVs-
Csoneo h desni ggaint BioloiLal
aganisbut inmmunt adion y a6 CusE-
injtYSuch_asanaphy_ladii
hypeysniUiy Xiadion
OId damúy (awrd by(Lu toan iiboclits
Lnlindie bxodted byl lhetody cLDT
oan iissuuK
Cand
4ChumiLalaqents anddauqs lheye a1u aaiOus
chemital adenlsand diues ohich: my Laus
SeveyeaPin juyIhasddinlud
uluose AY alt in lhupeonit Lonc
tnAT high_(ontl
Kons Suth % merLuic sadu, axesenit and
yanide
sisjdes andhabiidesltoi lablani_
Thexapedic dug
ic damcaetoorsophagtal mluLasa (acidenal
delibead
Sibial aqnlhrious miLiob such 4s
iniion Latstd by sichfsia, iuLAbXoozod
ond baciria cauXt (4 inury
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REWELL
PHA
EWEL
ja PageNo. uama**
ubeitulous intion o ihe lung p
amageb upi adory mutasaDYh4uno
NBUS
holoqilal adoa Vaious þrablems (
alsbolish drug dcidion ancd Smabing
ALltin djiehESSuLh as liuàdame-
Lg Lante,peplitulcer adi tardiauatulá
ditases
NLilionalmalantt-Relalive oi abiolui
deirienty Oy exLAOong omorehuilen
lead io (lLipjuh y'roltin caloxic
inyCaust anappallino number o dedh
NLidiondLauS_also'lus ll inju
q exSS O iþids calus atheaSClexaI? and
obei
84netiadoxsi Gineli iniuayLan kstlt ina
dt a aioss a dhe Condtnialmaloilon
asaciaded Pailh auan sundrdme,or imle
amino Aid SubxiiuliontInihatm 0q obin as
Seen in Sichle ulLanARmia
4
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Credits-Jaspreet Kaur
MA
.PHA
CAREWELL PHARMA
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TO Page No.
athoq.en tis ol tellinj
ahoqnesioIcdemioa_anchyhoria idurd
cll njuR
edhoqenesiso Raveasible Lellinju
Lhe eledsof linjyynrVEALdontloaai1on
Ohebbocd Subbly heischatm.ia 0 nybonia-
1SOSbosi cluxationhis i bousn_as Hwtsiblk
Cel inuyytlhe yaxious Chanqts ou h
Yible ull injuyore
Hooxia Ad Iscbamia
AIP.
Decaease p
in la
Scdium pump
Dapaoe
Dicxcase pzalein
sypibesi
Aanclionalard uldhasduleaol
hunqts
RvexstbleLtllinjury
adogtnesis o iszhaemía índuld iniiibl. tll inlau
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REWELL
PEA
EWEL
EDale d
Page No.
1|Dxeass A1? oduciion
IY iequisedox many syniheig a
ceqsac.cative_þyoLAs in ih ill FTY roclu
hy aobiL nispixadion (whith Xequle Oxuotn
R miiochondzia lsthaemia and nyboxa
aeceasethe_oxygin Subply do dhe ells uhith
aturRae HTP DidduLiion om dhe 14DP_
Hexobi spiyaiion (hd qlutoseallabili
both_afe (ombromiscd In hamia obIth
ultsin more seVeye T
O nu-
2 DecXECLe phBetaue o_deheCLLe xygen subpl
heuL mibhndrial acohi xitpi iian
i lolloyoed by suoilebh to_ahaexabialutolli
athdy ox lheATP zequiyements
aumulation o laiL akd YsiU
Hhe pin dhe'ulasol
edium DUmb_cdamaqedgdium_pimb ie
Na- ATPaie obexde qt theploa memb
tabilh allous adive anspeat Sodium oui
Hh _aandbaiasium into dh ell. 1tad
ATP ea in he el intpaIeLilhhs
nm.ban oL his leédsto ineauluar
acumladion oliodium_and diuion a
btasium Oufnd ihe. llLue to aluiulaton
Sodium in dhe cel it Ladc do intx in
initactlular gid lo_minlain Ls0-0Smi
toncdilion.
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MA
PHA
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Page 7 of 33
WEL
AREWELL
PHA
ate d.
eeaeosoein ynlhis Riho.oms arg delashd
som doplasieiiulum ERLCndoyso ms
are clecraclkd o mahosame clueip hyKiO-
hiutimtily leadsbdecxLask_pio1žin.
sqhlhuis
O0 PageNC.
unLtional changasundional disiur babce acL
in JeVexible _cHLinusy g due ioLo nohaa
olusion myoLajdral eonKaiililg-Last
Lhin_onYhinuie buT, (an be yeLSecl on
uloxation o Liulaiion.
Hasyuutual thanggsi o chondiialsuo:lline
i lin iqluILs aXL Uingin the Lqlaplasm-
_oLside ihe u
iiy mhne bund paysomtsge detachid aom
hSuxlar O OuGK fhdo plaumiL Ytliulum
athoqenxsis oSne vezible cillinuxY-
yveYsible_(tll inuyy Ocus due b_pesiant
schaemia or hymalp isxeveysible (clL injuay
Hh pilahondria dusuntion is noT
exuion uoanation _and all membTane
inicons axeditrbec hiious tvenis Occu
iweyLXsible_alinjuay_a iven brloi
itochondxial_dyslune 1fon
Due lo hyparig ylosolic inluxbaions
LuLSmdilyin yLeYSible n jUied lla1e
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Credits-Jaspreet Kaur
MA
PHA
AREWELL
PHA
CAK
CAREWELL PHARMA
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WEL
Date
GD Page No. .
BeYSIon, uwhichisahin up bythe
mio hndxia and lecds omi 18(hon cia
uuntioh he xiou (hangsDbstULGlh
milbthondrial_aTe deolien amaphu
Calcium salis in lhc. milachanCialtli}
ermbrgne daaatT
nshaemia Hducd imeveSiblc (
huypaiulaaly plqsma membYane
damaed
n His pxoLcSS AscAtpirfrd in-
huous me, hgnLLm axe lnuolu
shmiolhyporia
AIP Paadurdton
PhoaphsFd lhal
nthrsi
Endothrlium
milochardhia)
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Credits-Jaspreet Kaur
PHA
RE
M
CAREWELL PHARMA
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REWELL
PHA
EWEL
F Date m
CO Page No.
LsLbaepnialhypoxia
APhcdulion
Pospholipid
4nihcais
Repekusien
£ndoibrlium
paenhymaltrll
1GLdag
Rþexlusion
amibrhorduio
L4tosol)
Pdhpliono Hdiaionol
phapalpose. pofr ase bid.
piodaiioh h
Phosaholi
los
uAbuab ulesaldal
damaq
ldouh Diodni
mbyaTK
laiaatalluon tn2yme libraaiian
auath
melin
Knosi, doyalyais
ayomhžir
(Yuclem Lhong
_
imume-
SGOT, MB
ln DH.
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Page 10 of 33
REWELL
PEA
EWELI
AeDate
dPage No.
O
membxane_pbashholipid.llue b defititn
XyALh talcium shi pom mitachordria
ond oblasmiYdicúlum inladhe (ylosol
Chen 1he level_of calcium incaease in he
iasol it adinls tdcgehaus bhasph»liase
omischatnaiaissue Yabich da0 th
Phasbha lipids o4 the membxane -hothey
eson ox membrane bhospholipid damage
is decxeastd leveo HTL
LGbsheleal anmoge-Theunciion of the uoskelel
Hamenfis o tonne he lasma memban
the (ell_inteioz ddialon o dltaJes b
incxeased_ (an damage he (b sheleto
elenehts
Rative xygtn speciesdee oditals axg cilso
nvalued
inh xoceus
oine vasible cell
iniuxyhxiou loiL CyGin oditals such4s
supeoxide Lo, bydaoxy odicals loH) and
lhehboqen bexoidCH,&) A incxeased in
hdemia ee clitalinunyS Asa opexal
in sihey_xOtsA SuLhA n_Lhemical injudy
odiation injuy-mitnobial 4iling y aziq
enesis and athnasclexasiL
N bid bxeaadoLsn ocduds aeah_danbeduc
pid shith_aumtulale în dhe ischarmi
el xesuHs in ulbex damaqe a 6ther
L membiane
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Credits-Jaspreet Kaur
MA
PHA
CAREWELL PHARMA
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WELI
Date
EPageNa.
magebiccuced by Rha lusion-alium,
homeuis isdiluabec üan ebrlion_o
njuxtd ells, Luhich 1tsults inlag
nlluecalcium inta dhe ytasollhiA inuxtase
|leieloalcjum in the cydass ay ltad o
aciivaiion qf mtmbygneShospholpasesLohib
CCALustS
dqadalion ophosphalipids
Hydxolytic.cn2ymts
iouhudza ii tn2ymt suth_as DNHaut
RNAaseaf pxotaasES d2 AxL Tleased ducdo
asomal mtmbxant damage_onen ihese t3yme
eatialed Ldhy Ous digcsdion 6 lluax
Comontnjiand induce ipiots nudleax chan4es
Stuth aspybnosis dayyolsis apcd daz yol beis
hes m fiquusua phogotoed bh
hoaaabaS
4Estimdion olEmyme ibithuseuma
Due bdaúg ohe Cell mcmbxan aaious
Lenume_Such asSGOT,1OH cIn A- MG_a
ibekaded inb ibe Sexum Lehich may be stimaied
ox linital puapose
schami /Rebeyuionu R iniur
Lohen cluxaionO haimia is shoxIepe.Lian
e lonedheuntlional ardsisuLlural slale a
HhcellLI ihousn a VErsible tellinuy
ashenduxction_o chaumia ilanqty hth
speruion,xalher lhan ii toxation a}he
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PHA
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REWELL
PHA
EWEL
Dare
dOPage No.
he suclure and lunulion, deltaiom
alxtadyinjuxtdcell Thii irausn a
schohmia x«preasusion iniu h bmoin
mchanism behind_lhe iHatmia X2pEsAia
nduridc injuay islhol scNaLmia_
Ooducesalyheo (ellulan damaa
genexalidh olh e xditaPspeis
ubsequendlyYérusion_hovides abuhcant
mo kuay byygen (o) o tombint_utbse
xadicals om ealive oxygLn sperieiCkGS
thot ead
deeodial-induud ell injuy
adicals axeqnaaled sithin inny
mlochondaial mebyanespaue dungpux
lecinon duciion o gin lo)lalilu
HO) olaysd by toHomtcxidastlhe
ileamedindedrred oysan Sbrc ax
thcard debending upohnumbe a eledon
ansexd duirg con Vesion oloaun b
nlThese inclda
bEupxoide O
Hydaoqen pxonide(4Q) lo dedions
Hdadtgl xadical (ot) lhire tlecdhons
one ledon
ome odhex oxuqtn adicalSuch as hybochloxu
aid (Hotl, bikoxynitnalONo)ni onide
NO) axe also atneXaled by 0ilous bocly (tk
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Page 13 of33
AREWELL
PHA
WEL
ete:
HEXatian o te dica.
xec xodical 'axdquntyad.d_duaing Lonitision_o-
bHO
uo-oidalion n2ymali
Xanthine.oidas
SupI axide Dismuae(SOn)_
-2HO
Kalalase GSH
Racdudqlulalhiont
RH,O0 frmmon raction.
Rodio lyis
TENERATION OTREE KADÍZAZS5
Hxee yaci.ca medialid Madion
Ot oall ihe aee kaditals,hydxox 1adiuals axc
mostseaLiiwecx4qn speci Hedhonyxadlital
W
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PHA
CAREWELL PHARMA
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PEA
EWEL
ae
Page No.
hccluc.es mmbane clameq by aaiOus
meuhanisms
QH-
pid pea.oxicklan olip OMA,danaqt
Oxidalion
>l_dialk
1Lipid_beroxidalion-lhe hydoxyaclital yimqua
hycxoqn om ih uhatuaiicd_JalH aud
o mtmbxane bhasbholipids lhe ibid sadilal|
ssith molkLubr oqun and
ipicpxoide Yocical Ih peoxide xadica
emavin4 únoihiy hydcqen alom
SLond unsaluyaltd atauid. A1pid _beid
ando hus lipid mdiYJult, ando Lhain
XROLlian ls initialtd
omsa
YOm
2o1in oxidalion Hdaoxyladial may also
atquh boieins(ysiine mtihianine,dginine
lad hiadidint omoe yulniagble,loHleh
byO ue ooxidhfivedomaaeyaq mtnllka
asslinhi ng
ad euenlualy degdicdalio
bxoltin hs_plaue
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AREWELL
PEA
EWEL
Date:
Page ******snneseeussn**ns*
3ONAdamq4t Hudsox sadiLal induu uaious
allnalon n NA Ych as Sianbitahs, -
mdiitd bass and cias inbblus shOnds
tnsTu4 Oxidaiiwe damgqs OnA leods
Ho celldealh
Ihtioudants-
hrse axe subsiancesLohih inbibi1 he quntaliar
x xadicals o inaulive lhtm cnd 1hibil-
Nadical mtdialtd (llulax dama44 biíous
Cinlioxidanis ae iiaminA, dhd
Sulph hydxyl_ (ontaining_omino aids suh a
iin hnd glulathion
MaihogenaNL Oohysia injuy
Lidtnial a thYapeuiiz irpdsuxe o humans
hodiatian is cimpeanie in ih ataf mtnf_o
e son
Liih fumouas. Jonizing qdialian
tnades hydaoxy odicol bsodialyi oalx
Ths hydioxl dial tau ddlh blhe
othanLsm
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.PHA
CAREWELL PHARMA
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A
REWELL
PEA
Date d
O Page No. i
a nenesanan
LonizingIadialion.
H
OH
Non_ xotaling
tlls i
Psoliyali ell
d Deaoidalion
OwAcamg
amg ull
mmbxine
TnbihitDvA
plitadlion..
NtLxosis- Abpolosi
ttH-dtath4-
YadhogtnsisOpH
usicalinju
TORPHOLO4 OC INJURY
ophalogy o Reuexuihle ellinu.
lhemoohobaA hc
xVeible-rl injuay
dencdd bythe lum lhoqaietau
arious moißhologital Lingt whithoLLu
duxingtl Injdry anei
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Page 17 of33
WELI
ARE
WELL
PHA
Date
dO Page NO.
"
1Hucopi hapgeslulox Sarlling+
2Hlint hanges
3PLoid honos
1atyhanq
Hcropi qhangs HudaopiL chanqtis ont o 1ht
litandLdamonomo u injuay
Hdsopic_cbange bm
olhxsunonumsha
Cudly Su ngdue to qidu ipp xant o
be itd axátan.s_and aLuolaa deatntailion
duc loiapluthmi aLualadion. anbhltzial
Hexinshemical buanbigh {avtcx
(aus af hydopie chanae
Hyalint changHylaint meansqloss ohithL
Aed o dudibe hista legial tam r glouy
hatmaloz ylin abpiaaan in_ hat mddoxin
osin laining These cmmu may be
inaululaz tLihacellulax axe asodialec
ith heltognoLLs oa1hologicLndilion
oniaaululaa hyaline
H obsrzvadUin hiiheliael
Ma lay hyalina4gne4ai o ilamenih
hbadyddluing oHoli. lvey iliniuxg
RSl bdiraiLosiveimmunoqlabulin
RERoohsma.
Hyaline dxapletsiEaive tahso blfon o
peunca
xolin in xainallu bulaa Lthelum
L
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MA
PHA
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REWELL
PHA
EWBLI
hEliallulay Hyalinti Mostly sitnin
Conniive istue eq
Hualine artoxisclesdi in une vesst
cting hypryltnsian
Lopo dmylaxta in Oudcd. mss o
Lonunlxi Dhyaline. hmime 1n posla
in eldeslu-
HPAge
3 uLoid chanqtsMuLAus_Ís a combiali
olein cbmblexud ith muspcl4 sa
hasicke whith is Seziled by muusqlar
Epitheliab ull o mucu mimbah
glcinca oelL_as Conneuiiveissu
Paodu muin
aEpihe lia muuin
tain Stcxeting lumo o,oaxy STotich
Cadax shal Jn mmcalioh omulotumembra
bonnedive dissur_muin 1-
7n myxacltma, myX6 natóLS Chahgt
uoicd chang in sam umo3 such
>yxoid hahg in syhonlum in
aqlion o isd
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MA
PHA
CAREWELL PHARMA
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PEA
WELI
F Cate:
d
dO Page No.
Thnalluloy HLtiations in lipiclh, holtins dnd
Cor bohyedrcts
ATniaacllular accumulatlon o libids
HIL Rhids such as iniqlueacyide,chalateol,-
chalestol uig and pKasbholibds aumulai
in iheully. Hh no ma comblex a lipdscand
Caxbahycdxais acumulaie in ihe ysotomal
stosqgdiseaseshospholibids cremaia
CmponinT Al myilin iquu ohith_aiesLen-
in necxoliu w ,
Steatosis or aty change blealasisand jatly|
hangcs_descaibe. hg anoymalaltumulafiam|
hiqlultides ioiihin_banthymdltlls,
in Jat mtomlismo lafly cbang ae mOsil
SAh in_ ljvY buutalo my &uas in hti
and dnty _nd other Osgak VaiousLauit
osieatosi inlude
iuss gloho (onsLumbiion
Obeaiiy
oin
soin malnutiion
Dfa bels mellius
Hnoxa
Sv 1llnts g lubeLulosis_
Hyho ia
alh o4tn&ai o suasasis qids,lipids
eniay the_liur Lell_tither Yom dff ohom
adibase isueInh livercll nolmm imal
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PHA
CAREWELL PHARMA
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PEA
WEL
EDale
Ga PageNo.
theact jals
hoost a the aaidi o aig
Lanc som cumount is changed
holtieyGsleDS4ton bedtsand
phosphalipids Jn he v elliqlyitide
qui ibidauplo_byalin tooIm
lipa prollin,
Lathoqtnasis osteataiks
Dit 2ueaty Aid Hdiascke
Oxidadienb
apid
quuephaiphate
Ilone bedi
>Phesbholi bis.
thokdraldas.
>Liv-
iglycaide.
Libjd aupta
rotein
Lihopralein
APlama ihobialein
Tn at livadue to d is onc or moiLa
hsizR giun_belous inat mtabaliim, leods
inlacallulan tunulaffon of triglycerida
Inatad_aHy auicl_eniy indhe li
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2nCasedaHy aid synlhesis by lhe ivtr.
3-|De CMLc aty aid_snuey sionsinis lont
bocias
Dseaed kbicd acupto prolein qnihesis
b nhihiiionoibòbiotein Cxueafion -o m
Hhe ivEx.
n eo v llinfuay due la chionic
holismaiouadoaxe inalurd suchu
1 nasd ipalysis
2nCsedsyndhuis ol hee_aty aid
3 DeLise uii2alion ohidy icle
D rd oxiadalion_aaHy 4hd6 elanesbadis
5Thhibiiion in lihop sallin xuetion
Btaullular auumublicon _ol ca bohy.cxates
CGlytog4tn)
uulaiion al in the tablasm ls may
kads a þadhalogical stayein ihe vakious
Londition Suths
Ln alcinlnia n whith, ihexe is xassive xenal
ubula ILabsaypiion o2101tin by thioxi
Hubulaxeiibe lial lly ohith uhoLsP haline
hanqghe hyalint chargidisabbeas oiih
LOn1o o iinuia,
2.n anl
alobular depaik, oamutaNtbraiiins in lh
blam a hbais ys
san deiuny fosinobhilic
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(Ohhatelula attumulatfsnolabbhdad
Godn iy a adtly cauailable ene l
Hhat _bxesrnt in Yh uaplasm umuly. h
lloan ours in adousiLonditio0ss
1In diabtes meliiu. Noumalublabe lue
imbtaixed whith leads to iniYaLLllula
aumulcdfon o qlucoges deosiiI
AYLStn
in ebihlium o IAY bition o OXim
Conalultd dubulk am desiinding aop nlk
npanatiL E- cllsioivi indn inHh{_
ardia muLglL lly lLa1aLuali in lh
loblaim odh afLltd itllsartSitn du
togin depasilion.
2 Jitc
hstoag CieaSLL O,
In
SunihsiLox bytah dduon bglytogen xaulh
maufsiocapilinq, silbtuohdary injuu
anc ll deadh d
TO
XPigmtntu Thgseatthedolouudoisuhulanta.
imenis ant þrtstnt in most liuing being
inudin4 human hese ais cassid inb
u ma?n_(cle goii
Encloqthou bigeniL
2Exanous biqmnisa
1Endo9noupiaminishas ae_o1md
Lonsuuns ohe lkllsad acumubleund
speicalLoncdiiion laious tdoqnalusLbiqmenisa
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FDate:.
Mlanin.
IOchahasis.
LHazm9pio14in
deaived piqmtnis.
D paussion
Page NO. i ammnaaae
lanin tis non hatmoqlabincluiud brOLon
Douh _igmunToxmicd sht lhe thumtiyiosin ¥
cdlalyhg_oxidalion o oafnco dihychoy
phinylaluminein mtlanoi Houweve Somei1.
no melanin pigmeni i visibl becausL y0SLne
Dsnt hutit i notiadivt Melanin
Lbiamenation Laur
unalistd hpebiomendalfan.eg Hcdison'
disra hleasma
oal hybpig mtnalian eq Mlarosis coli
milaioh iqumOUIS.
tntalised bybopiomeptation.eq lbioiam
Localisrd habiadnidlion q Miligo, ltucdoa
LOLhopasi Ti anaudasp.mal tcesiuedispd
n och onasisheeis deicitniy,o an_oxidas
tnymquizudobaraadouen homa9tnlisie
lacid ohich dhenátumulaies in issue ançexxeted
nthe usine igmerismelahin libeian mosi
aeleddiue t Lasule joint,Lalilagts
igcamenL ad_ lendoni
HaemoYolin dexived iamen
LaHatnpsidevinis a heatmoqlobin deviupd 4oldtnyt ls
broonLIlalline oncP gonula pighdni i ihe
om ahih Icn is slotod inlhe ll
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do Page No. s
Hatmasideain_uessleads doi
otalised huzmasideasis ie ta haemo
hgaein
HissLLe loalised _batmosidiosisdeelabi Háemcal
ibpted due o lgais o d
tls, Lshiu
Halatn up _by macahhaqes uheii1diqlod
ad sloxed a hazmoiceain
* nealžstd hatnaidoosiilue bhaemohagin
he iuue localied aemosiderasiu develops
aemcqbbin i libevaled_cdue to lyi ol td l,
hith i taan ub by maLahbaqrs htr t
dqaacedand siaId as hacmidein
tnealised_hatmaidexasis.touuxs_clue Si
on ourload. lu yhe aam may hthe:
nchmadou debaslion_dhamasidešin C
xhchymal e oihr liue
*Reliuulaenddilha lialdeboslion ocur in -lheliva
ord splen-
ub Rzubin. IEisþrun in hebile Biliubin
s drivd apm Ahe psxphyiniing o h
uim moitiyo he ba moqlobih phen
bilndbin'inuueasts, i lkads do a
iniLa (ondilion Xnou9n ai jaundite
M
hustin.It i foton (Lwea and 1tar, agir
bigme'nton lihochiom Lialuini qullbui
oonn colbus i laund in olraphiedrulls
old_gge hinu fnouin á weay and tal or
cinq bimunIti madly Steniin li, htasl
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Marpba.logy o iueLsible tl infuy.
IANEYSible e|Linju1y os eceah 'mayOLULs
n iheliving body a lotal Ox oca ang-
Schasauysinasi andiabohlasislakMd
Hhe changts ha sllous Such palholoqical
(aliicaion and qanqinehe yanfous
athologícal bracess bhih_arein ohed in
Hh eM dealh-CLrt
uHalsistliblyiis alo 4noLon_a salfdiali
od wheniving bady issuxxoundedb
nammtaiy LaLti8n on may oltu As
imoailtn Yhange tahen lhgae Lomplele absent
inlammalosy sincundinq tutolysis oun by the
ndolaictn2umsliberaled b dhe osome
INLaosisL iihe lldealh aciunsby lhe ibuaion
o thehdso luliL enzyncsom the el Vaxiou
aqunis such ca hypoxia, bhyiital 0qni,Lhemic
ainlsimmunaloita agent ancmityabia agtnt
can tauseneuiosi, kdigesiion y he 4di
2ynme ad denaILukalion o acleihs a1
Lsshlial chonqssbrinq aboui Imcuezsible cellinjuy
in nuiosi
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s Neciosis
Ch h 'basis of mouphalogNlecais Ldir
ino allaLaing yba
Cooquulaive Netiosis
II|Liatelaiiue NecsasisS
at Ncosis
(ae.aus NleLKasi
VHibinoid NeLosis.
L|GanqKenous Nosis
I oaquladiue neLxosisiTtian ireiezihe
dalh_cousd by ischatma andmo1rdly
Haom hemitalond baLteaial aqenis. Lt is one
lhemo(ommah ybe ne
rOsÍsnd
ainlyG{t_hrart 4dhey ad spleen H ihe
ceath O lhe ul i Aulineis main talha
Lshen clisslaintd oiih ha madoxy linad
osin,he yio þlosimO heoliu lM i
mo eo.sindphili Ahanhe lu ual
yhnasisé whtn muL lkus hromisSmalleä due io!
Londensaiion o nucleo hiomalin.
aryonbexi ahtn lhhuanaii nuleus
agminidinomanymcillid gaamdai
4aauclyis.shih thepyhnoii dular zkudd
aom he
T qlanlive NecrosisTtis dlss naLonas
Lolliqualive neTOsi uhn
Hhealeddiisalulion oh hcioliuull is
ie han Jhe ale ol iuaia, lhe sulling
xpho logLal appLaante is anoan aake Jaudi
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LE is masilycausid by bydalylc tn2ymts 9
na baain Gnd abstcsš cauiiy omd By
iqueactive neciosis in asolid issur
Date:
O Page NO.
1 at Nagsis It asily alds odiþai issu and
Om_un(Jeatiiisho ihauma.he tatuns
ohich clkleymine lhis ype O nIOsLL Be
xsth paiglyt idzs in 'cdiboc issu The
Dxotsof hedM slais tobih, digelive tnumtiy|
Lushih a nOxmally lound in nYeadi duk4
cnd small inlulin ce Xeleastd om Inud
baneaii aihax (alls
Koleas and phospxa liba uleas sdomd diglyu
des Qmatl.
on seatic iasehyd olustd Ahis iiqlycuídes
înioee
Theseaty ad aie bi piiald as laljum soabs,
ohithdeposiisiai ihe pipheiyo hc iqulax-
islanc
a ty aid
astos nasisen ubeyulosi lnalion neuoi
aundin the tnire olhe ou i AnoLin_as,
ase.ous nyiQsiL. 1Bolh éoagulaiive. and liqueadi
nLaili Tu axond in caweaui neosis
n Laoy htLaaisunliacougulaliue necroi,
he neioiin ullail o elain lhin ullular
loulline
binoid necxosis t ik alsa anaan asibinoicd
degenexaiionn ibinoid ndoSÍl,blasmapratin
lacamuledts in dhe injuud bload ueiels ushidh_causa
h nllo tain inienuyib tasin
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.
d
Page No
naienOLS HELIOssLgan4zene) hili
thaedtthing netion Bypuiaeloadive, bcleajn
hese ane uwually ancdexobi4am-po31Live
loslaidiun spp desved omlhequt o
sbith_thive"in Londiifong aloLOqn
thsion.
yanqsenous isur sOL Sm IIng
Had blaa. h g LGmple is gin4theOfeaey
imb caused b a_booa blooc subbly dhdd
SLubeimpoard baiaial inhdion.
he Loord qn4xeng is ustd lo desbc the
holidad o a ofa limb shen lho
DAmeum
bobasis Abobiosis ia paoqammeclcl
cleathlhe tuim apoblosisideaiyec o
9hLaad manin diobhing o O
allinga bsbi6sisbloys n nieg1alok|
hqdax iey o4 bialoqica uens, hludiry
mozphogeni issuc 6meosidalsdd
movaY o unaahted 6r haamul(ulls.
he moabhalogital Lhanges oaobbis inckdea
ellShain A44
2ONAamelaiion
3 auima mtmbrúNe blabbing
ondansadianallohlasm anc Nurleus
5.loxmadion aao balibadies
6Pho4Olosir ol amblalit bodies by dhe
ma paga
No ina mmalo1 eALionOCLuas
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Biochemical chancgs
Bpoplailinullk ashally exhibit ditinctiue hiochemical
LhangusSuth as
CO Page NO.
1 Koltin leavgqaCne ahe sptili aluothe
abptosi i prolein hudiolysis invaluing ihe
autiuotion_osVEYal Kaumtrsoyliheolidies
nantd_ú Lapau
dinoss linhoqe itnsive_bialtin_(iossinbi
by aansguamiar audiciion conuei (ytoplaimit.
ioltins Inio (ovale ndlylinhed shyunhenulls ihl
l beos inb oboptdii bodies
hoholidylsexïnc Bhsptoic ella dlinguisoble
bphosbhatidylseiint exirnalizaiion,idtniyinj
Re meluE dispasal hough_þhagayiais
oplolialls tan be idunli|iec by niousmtdhd
L DNA caqes dedtuid by gel etho pho isi
Ennoin yshih hpoti
apepioli ll mm.bxane aingphos.hhailid ylarini
on he plena saxau oll
TLHaemakylin slaining of Chxomadn_tondensallon
hanii oapspbsis
Aobiosis Lan'be isgued byieapal and inlend
dimuli The sptiliplasma membrpnt dealh seepla
tonile heîteanal palhusny oxiginate oiihin the
mitoubondion
ADadh Recebtoa athuny
LBMikcbondial athun
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SDate
To Page No. .d
optosis isbiolgiLal baocei
papiosis is 1esbankfhe o2 mtdiaiing ilda
auide ariiy o_physialocital abd_pai»
logutal oCtis aY undka
hsiolital _apopiosis
Ebrydqunais ormation ofligitsasm
limb buds
lnsirual tgleiendamtiricl (ll_lass.
cast ding xNaial of changt ln h
adalind batut onte batcast ecling 1s1zishs
Nmmune ull_devlopmeniidzlyelion a muni
celk C-all Ahat ay1Lad ouih he body
*athological abo blosis
umou h balan(e blusapo þiosSi anclca
xolieralionjsdistusbed in heapla.iia
LAnophy os in anaphic iuesis bu
gabloris eg ial he it heilis
OS lassof ymphosei by ahapi.sis
alhologi Lliicalion
ialka anpcon as htlesihobi calciltcadan
lhologi caluiicalian s C_Condion ahen
alium all ai dasiid in lisue dlhesthan
aeoicd o emmil. here01 a gineial
O aihGlbgi_Lalitaion_
DabhialiIicaiion
LDeiastaliu Lalfitation.
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Date:. .
OD Page No.
1U4shophiu Caliliialion.IHislaLondiiionin
oich thtae is deposilion_o alium and olher
mintials in drad o1deguhealed liau iih
hoaalcaltium levelu_and calcium milabolisn
ometors lihe changeof pn lha htLotic
Aue and aleass oYnmts, q alboline_phosbh
ase
das iali talciialion2Tisa (ondidion in.
hich (olCium_ dasils in boxmaliSUsO -
assoLiciled uoih hype_ (al (atmia and de1onged
Calkiummeiaoih Becaus byp talcatmie
Casts mtlauiaiiL
T may be due do
LAS idemobil2aiion oalium om lhebans
ive ahorolion Ldluium om ihe 9ui
Bony deshudian leaians Juch 'a msiasli
aliiaalfonin normolí lissue
Abopiosis
Loss oellHscullconladNo such los
OLu-
2Csbinbage
homalin codepsaiion Nucleusdiuluxed gnc DNA
rd DNIA hog mtndadion damaq LLu aandomly
Nsilamuion
5Dah o ngle ll ulo munodatntulldaur
eLie aildimuli Requi seE dinali
enta4 debdent
O elk and plasmaOgaKllkra1 dama4Ld andd
mmbiont is iniad_ plaima_mem bsan
NtLIOSL
Sue llina
nbmiion OLur 4
Eneyqy loRS noT 3e4uir/
Laupled.
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Date
dO Page No. .
llular AdaplalionaLullula odabialion i
kodilion whtn Lls maht0umtnis usip
h hnangis in lhe nuiIomnT, o the noh-
cdtusiaests liba patholoqitdl njuy ad h
Physiol0gical nttds Sameo these odablalic
Dyolvehangesi llular91osihi2e y
Heto iionand includehyhyplasia,_
hyaiiophy adsophy Onc dyfaophy..
1HHprblasigHyperblasia isan inuta1tin h
numb Quis in aD Oxqah 0iSSutohi
yhen_ öueinCTLased Utumt.Hhoug h_-
ber 1boobb
Rinciive_paLtsi, htqunlly boih octun
rother dogdht Hypta blasia cahbe physidlogi|
oxpaiholoqic
nd hybea þlasia_re lua
hysioloqital hyþ blasia' Thi Julher an be
diidedino
*Homoal hype plasia e9. lhe prolieqlionLo
andular lhllum o he Jemale breastot|
ubiy apd
omhsalosy hypblost atntoliono
alloolhg bartia he hiim.
L
duxing xanCiny
alhalogira hyprplasia- lMart oxm o
patholo hyblasia ox due so
tnskive
homo sHmluladion ox duc do eles o
asouthacdor on
Ja4i
Kuda Laz(ind malolus hypiaplasia ohe
Sin
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CO Date J.
HpeiiophyHyber1iophy ison ine. in the
hel Slubmpained by on_augmenle
unci1ona tapoLiiypilhoui_ any Yhan1 n 1be
humbAO4 lls. H4pr12ohhycan De-pnyclbbs
D_tholoqï h b&th_oih& cases hf
may be inLeaLed unztonalglP mándOY
t eksivehoxoonalsiimulailon.
CO Page no. *
ysioloqial 4peiophy, eqi dhe inlangmen
oheJudenur in pis4any
Pahalogia
bP Lmule
H ophy o htle al musle
hpy phktdl imulLles in manlualklbauxtàS
he tin Mon milal insuiihy_and
SHhos
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141
TRIPLE RESPONS
nplaining hauoaurauc clhaun
ACUTE INFLAMMAT ION
nduu Hu chamqs in Hie
in aspe
a by fium
short dumaion
Cany body heaciom
nesot quicbly
ualy obloud by hualing
mam atus -
accutulaten o Huiad bplasma at
sheduing t blunt poimt.
Kuaction liited 'u iplolud lineKesporue.
a)
Kad nt aPps yiw ecs atn
aokng
oapillaus, unul
() Fla buget nuddish apptaaute
uwnoundivg #he ud luu nulli
Hom vasdailauon o adiaeut atuiols
lheal utlig lodeua of
uusbureln9 kin due to trausudation
kuid ulo eukavaacular 4pau.
thse teatuns eliui Ku dauial
Aigms infammatuon:hudness
,ueat,
uuellug b uluch pam added.
: duu to loal vasodilatuon
Inhauasculas actunlin o platelet
polynuorphuonuclar nubopili os
inlammatoy cells
&euwe aute nlammatoy HLsponse
FULHINANT ACVTE INFÜAMMATION
Diuided ntli golloiny 2 uenu
OVASCULAR EVENTS
Alaatuos in miuovasculatua earlist
altuahos: Haumodynamic chaugu
chamgs m vosular pumuab. 12 ALTERED VASCDLAR PERMEA8ILITY
Patuxgneiu :Accumulation of oedena
luid in the itonstulial pae
auoundHu infiamud amu
Suituall, esapt ouid
due to vasodilation uotauent
n ydottatc muwe-TRANSUOATE
lsbsuquently, A
vasulan pumahilily
micnocioulation cauns harautuibhe
tnglaunmatoy odema - ExUDATE
ndlammatoy oedsua duu to ta VasCulav
tmLabikly nplaind by snaRlING's
1-4 HAEMODYNAMC CHANGES
bWood plakma
mmaiate vascula Jusponse
TRANSIENT VASO CONSTRICTION OF
ARTERIOLES . Mild injuy uflow
m 5 himatu.
(6)PERSISTENT PROGRESSIVE VASODILAION
nn alp, mainy.4edh nmls
Capillasies. Ruuls n1d bood
#e
volume m miuovasulatut ,Kusonmiblu HNPorHESIS {uid balame "maimtanud ba
o udniswun at hu aik.
OINTRA
HYDROSTANC PRESSURE
)oCAL HYDROSTATIC PRESsSURE - elevald
by vasodilation, usuulh in trammudation
Huid m enhatellular space.
Raspbnaible pr sulling at te ite.
(a)SuowINGSTASIS miaoirulatuon
olous 1o me o ud ulls
raiud lood uisuosih
l
LEvCDOYTIC MARGINATION/PERIPHERAL
ORIENTATION OF LEDcoo¥TES along HnL
vasculan doHuum uhu huy c
biy mirate to tu
Clavasculan space-
iratuon
Mane
INTERSTITIAL
FLUID
Pe Causng outwaad
aid hom iaoiyulation
CoLLoID aSHOnC PRESSURE oF
mut
UASWLAR COLLOID OSMOTC PRESSURE
HNDROSTATIC PRESSURE O
INTEL
STIAL FLUID - Koies aulany
MGMiment
uteutitial Huid in
nuvard
cArTulatuon
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PATTERNS oF
INCREASED
VAScUUK
PELMEASILTY
9LEbCoONTE MEPIATED. ENDoTHEUAL
INJURY
Adhuunce ol lucouyks to mdohelin
may Huull' n Hui ativataon
Thece atuvakd lucoyts kuluau uclolylic
4m tonic O2 4prcits uuliuch
ay taui mdotulial cell lju
1d vascular uaks
'Auus enules
Late nesponse
lur non peaumahle eudotelial lay
wiOno vasuulature kcomu Leaky
aused by fd vaslas pumuabilu
ollouuing pallms ocC
) Coihaton o cndokulial ull
MOst uommon
uchmm
beou umuls, not capillanis,autaiolus
upoay gap dullopd blw endolluelial
culls duxdg conbacton uullug
uatagt
Madiakd by luskanunt, bradybun
Rspense ahot dwatn HUUL be aly omuud tapi llanis N
' hot uuelu immediate trausiunt
rupone wila Homal injuny
Hin o kaua
9 itu wluu lutocyka aduunu to
VQsCulan
uudbhelim -iu
ona unules k apillanits
6) LEARINESS
IN NEDUASCULARISAON
nlucine Vula ndotulial
Grouwh Fator (VEGF), dunung He
POUK 6 kepain u Leaky
: in ualug
, tumos
(2) Cowtnauon a wld wdohulial
damag
stuctual u-ogauinalun yloukelutern
dohuial tells
Ruuwuible ebracun al utndlulan
uundiont
a4tch ulu apillaius
Meaiakd by ytvbus utnteukin I
RespomAu laiu Kon Atuual hous twdauy. apt oucoe hm umeun
g oi dlayd puoougdl lakage
ptaramce eLneunns muliated
by UV radialm
() Dinut injuny to udoulial ulls:
dinnct inuy auss ull nuuou
puyskcal q2ps
9locoss o uuombou mvoluung
Katelelä, ibin uitiatd
hamgt alttus a muaOvasulatu
1d nummiabilily may iu appeas
immadiatdy n may Dcu altu
adelay o2-12 hs
o imudiate Austaud
Liakag bactuial tukcions
o uolongaa luatag umal
CELLULAR EVENTS
oceKtstudahon od lucoyks
phagocytbiu
2 ExUDATON OF UEUCDCY TES
intinstulial uu mout mup
hatuu of glammaton
9n aute uklammaluon, fdmapho -
nuduan neuhopid coupef Liua
o duleust ollouuct by monoyks k
mauophags
CHANGES IN FORMED GLEH6NTS
OF BLDOD:
Rlauy dage- bload {low nale 1 due
to vadilaton
uheguent slouuung HoodilNam
du tw
Moung, tenral osiam
cellsluuoayk RBCs) uidun
paphusal
namou los oplama by
mudaum-MARGlNATON
poma e betems
&radiatubn uy
Website :- www.carewellpharma.in
Source:-Unknown
Page 3 of 6
CAREWELL PHARMA
SUBSCRIBE us on YOUTUBE
22PHAGOCYTOSIS_
Paoes ol ullulas vgulbmnt of a
40lid paxdueulate matter Imiunobs)
wll taling ( ull dinkg rinouytosu)
main typs q phagocyte cells:
O PMNs- appeas tay n acute
iawnatony ksponuë ; hometiumts
calud as mácophages.
(2)ROUNG AND ADHESION
'
nipunatly magnattd &
paunnenkd
(nurophil "ounal column tonuug
uoe to wall) nuoptuils Aol oun
Hhe ndohaelial tells" luun Hw
w
wall (adktcia plhael rlliug phaue
ollouud y bonds blw eutcyte b
mdohuliat cells beuemung
ladhuion puauu)
Foll moleculls buuy alut rollung,adlusim: e Monoyts oud mut mmonuduas
SELECNNS
pAd on sulae d
aivatd ndoHulial clls
Coll reuoqniuu bund to quytopaolmu
gyolipids tn u udl
sfat o
nukopub
(i1) INTEGRINS:
ndotlial utl awface
bkiu auing a o suhuuli uluch
u adivad duuin Hu uvun
Adhuim blw mdoHuial ulls
Lcoks
iiy IMMUNDGLOBUUN
GENE SUPERFAMILY
ADHESION MOLECULES
partake un
ull - to -
ull ontat
phagoyts caltid. as mauophags:
Poh ust om neaching Hu ill o
lnkectie uaduce uottolytu ungy*s
ome, uateasu, colagunae, upasu de
hse nzymu duqmde cllagn
Cnhacellulau matrix.
3 seps phagouytvs
O Ruognulion v Atachmunt
.tell buuau neuuptors o mauophags
KcoqNis miuoo1gamims
(manos Heuptor Scauengu keuptor)
MicLoorg upaid ho taling lopkeisatuon)
when coakd t speihie juotus
OPSONINS
(3) EMIGRATION:
Ae stiching to mdoHmelial ellh,
uthoptil mone along u Auyace
HL a suitable sili_ blio undokaelial
Culls is tpuudjhaow out ytoplalmic pod
Neubropuils lodgd lw udokulial
ws & bazemant. mmbranw uDs
by damagiug' it locally t Aouagenase
Lstape no urawasculas space
Simuulhanous b uigralion o uuoyka,
ed uls Huu u aps also luaue -
DIAPEDES1S
lgCi opsorrien -naturaly occuning
amt body n sum ccat bactuia
Ruupor:Fekpor or lga
C3b opkoiun - strcnaly chumötaclhe hon
allhactg PMNs to hmctuiu
Reuptor: complment huupor 13.
llectis - Canbohydate bundu ucns
plasma uli
cell wall
kuptor Ua)
Opsovnns utablsh a bomd blw bactria
& ull mumbame el
bind to bakuial
) CHEMOTRXIS:Hisratuon of ucoyleu
a uouiug uat bauinsto
intoutdal tusus
phaaouyhc
Ggulment
yhoplasmic rseudopods houm auouwnd Hu
paticte duu to adivation o aclun
lamu unulopiug ub n phagry
vacuole-(hagosomef:s
n
larma mmbranu nlourg pastile tuahs
ko at phagesomubuoms intunalud
Chonuotans
ehmotaclic uubutavne hor
utroplil: ukotiune
4
ytokins (udulubin), solubls
bactuial poduch
Website :- www.carewellpharma.in
Source:-Unknown
Page 4 of 6
CAREWELL PHARMA
SUBSCRIBE us on YOUTUBE
Hhe ell s lishu in the
wll uytoplam.
*
Phagosem ms t yso tomu to fouw
a bigo Vatuolu phagoysodome
Killing and degradation:
mamuncaom skoo plhagocyts-
illing diradation miuðbu
Htn biwg billud by anlubattuial,
daradudby hydnslyluo uzmes
hails bo
El Aomu bactuia üku
tubude bacilli.
*Foll muchamiam invoued udisposal
)&mhrauellular mthanins
Rtactit 0, 4puies Nime onide
wosomal qrauls
8) Ensautular muchamisms
Actvated ucouyts Qmmue methaniwis
Nuctaophil enhacillulas tmes (NETe
CHEMICAl MEDIATORS
OF INFLAMMATION
ndogunous chunita uubstanus
uhic mediat tu mous o
inlamation
Ptopesbias:
O Ruluaud Ham ullh (skorage ot tunmesisud
n cell) o deriued Hom plasma
Motms(most tommomsilh - liun)
uluasd m tponst to uutam slimuli
(muious agm dead su mdiakor
At om dih taageti :may at on ulls
kowmed
body cel4
uucw
Ahort pan altr nelease :
rapidly
nemana nymatuc inadtvätun,
amuonidamla"
mast wmp
Hau suuenal acions
Id vasulan umabuity.
Website :- www.carewellpharma.in
Source:-Unknown
Page 5 of6
CAREWELL PHARMA
SUBSCRIBE us on YOUTUBE
Aystemie 6eek o
c:
CHRONIC INFLAMMATION
Pholonged elt eaas MOes w uhih
tmue dstuuchon ad intaMmaton
Ocuus at Hu lme me
may occu by nt Ha ays
o Fu :mla u t lou
eig mioku
AUamia: chl n acompaniud by
anauia uajiug du
Luoytoiu tuucoytois alorg
t
rulalue ymphouytosu
O thuonic inklammaton (oll autu
intlammatuon
uthun tusue duhuchen u entemsue
o Hu batvia swmie rUList
oskomyius
,puruumenia tuminaiug
n ung abses
ESR elvated u all us
Long tum casus o cw
nmay duulop 2° aytmic
amsoidous
Antoidosis
Reurnunt allaks e auili ullaunh
uhun upeaked bould o auute " tlamm
ulminate n chsoniwy of paoeis
: im necwnent winay raut nlectuon OuouC nm-sptcikc inlamwnation
ading to dhaeniu Opyelenuphiibs.
yps o chuonic iukamwmnalun
chuonit lammauon starbung dinovo:
ineetion't of low pallauitiy
baginmwng
4 ction t Myiobactiiun
ritant uoduus non-ip du ig rxn
on ramuulaln ine
ualung by kbrois
uonic outtomyeliu
a vaniant of tuis tyPe 's chaouic
uppatue iutammatum
atnonyosit
Hubuwloss
Gunal katunes
chuonic qyanulomatous inklammatuon
injmious ageuls cause haiatuuhe
utlogic tuaue rupmue by kom" f
raulomas
bubeuuloais, lepray, 4uphilis.
0 Menonudear ull infilbalon
Clu. i luions a ufibraked hy
uonoulan wlls ike phagouytes.
(Pagocybts mnoyks, maciophages
cpikuldtd ulls)
Mauophags mast inep cell m using
o
n adwatuon, ndau biologially "aduw
AMbs
Qcid nuubral paöteasus
ingaboub hssue desucton
,
fbo
toku i ulds : luympbuouks, plasrma
uls, e0inophuils, mast ells).
Ti desbuction/ Netoris
Rupuglt abaut by autivaka mauophag4
which
Lpas ROs, ND, yokunes
solienatuw changu
Kuleas latasu, colagunae
mf amdlU loal unels
toroblaal, 4timulaked koums g
qramulabuon Uu buwna Kibro0
Website:- www.carewellpharma.in
Source:-Unknown
Page 6 of 6
CAREWELL PHARMA
SUBSCRIBE us on YOUTUBE
har:
by 2 iutuntivn (2° uionm):
peun t a Lamge usue duect
ug tusuu lou e ells b nus
wound notapuosimattd
ungical suluu but iu kE ep
HEAUNG dy'k nsrense
u a atunpt to Hstoie nomä zr
" 9mouits 2 mouns
Lgunation hiaung bynoliatuon
panhymal ullsconplete
estouation onigunal tiues
Lepous hualing by uolijeation
Conuutiu tnie "rultiug w hbroe
Healing o kim wounds
lasical enample of comb" of varep
OHealing by 1 itntuon (1° uwin)
dhas
clan niuetd wgically musud
Tout much lou of wlls' wmues
dgs owound apruoKimatu bu
Uagical &uhues.
ial hamornhag mmdiatly
torainguwy, pau blw ntgus
miud wound fitlud t blood Huu
doty t seals Hu uwound agimst
dey diatuon t inkduon
CAcule inlaunmatoy HupruL n 24 has,
appeanana
f polydoyhs hem mangin
incion
iEpiHulial thagrsl aolindton o
basal culUb q epidumis owards
inasional spaulw thw hown eplelial
spuw). Miorated pidmial ulls deparat
Hu unduntyng wiable dumis hom
lying aöhe matuial komuing Stab
wlich id (at ohb By 5" day,mulhlayoad
w tpudmis u omd
Dgamuau.onl: By 34 day ibroblaut
wade tu wound a. by 5" day, tollagen
kbrils komm uuich dewunate u alg umplt. tiuue is dup kud, qrmulan, fragile .
uuks, 5an mue, a u b uus,
ept multalisd mutau u fowud
Sukune tradks
7aas kom 1 uin in tai lag
L
diet uluich has o bu bridg
ALalug hyom baLL upwand & mangn
inuwnd
douw hualung ,
luge,ugy scaA
(as compand to apid 0hualing neat
Scaa o 1 uuion)||
Auaunu ol
ubna
(D[9udial Jhacmouhae As a nulk
9 uuy uwd spau jilled t
blood kibin dot
fi lammatou phae] uilhal auull
in naspomau ollouud by apptaMnLL
mauophages utih deas
d Hu debis .
üi) Epikalial haugu pidmal wlls
udliuate inlo tu uwound wl Huy
met he uiddle k rt-pikelialisu
e gpp coplekely. henu alls don't
Leuu Hu 4nfae huly ml ramalati
6n umuom base itas iliug
wnmd pÃte. Tuus me euislwq uiabl
lennctiuw mu Apaakd hom
Hnotuc mateial L
dot, kemmuig a sab
replated by mauphags
armulaion ieue Maim bulk of hualing
u by. 9rauulatins hpmed by
ucilaat onm
6 kboblasts &
üovasuulas-
abon uuuy pmd qrmulation
Scan en matnaho buems pale & uuliila
duw to 1 m calaqenk m vaaculaiiliy.
Mlaund. owtraction saea 2 kalirg
up, ot n l alung
.aue to aiuon
/34 toVy
myhbrobDAlA
, uiond
(iPrune iukctnl kactuial wvtamiur
a epun uwound dulays Hu
QuL
huiling duu to nulease o
hat noucku neioia,
dou..gal ronuval o dead Hat-
tonius
DEBAIDEMENT
Website :- www.carewellpharma.in
Source:-Unknown

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U-1, PATHOPHYSIOLOGY-1, CAREWELL PHARMA.pdf

  • 1. REWELL PHA Unit CAREWELL PHARMA Page 1 of 33 SUBSCRIBE us on YOUTUBE WEL Y Page No. Dasi Principles of lelLJnjury- and ddoblation elnjuYyoben a cull_enlounlus_a vaieiy o Sinsseclue o chang in inieYnallas oell exionaunuiromuni,1t leady b_ull injYY Cux bocdy cll baue inbuit mtthanium lo deas th udkious nuixomehial chanq Ihe Rsponse ohe ll lo,slxtssdebendsonMo VaYLables úshich ybe of ells_and lissue ayeihwliurd. Uuxadion andupe oinju be sponsesolhe lltoinjuuy my be 1Revexaibl Lell iniuyySometimesiniuLd l Louerecd bach 1 kest nmild to modual Thi i XnoLan a xevexaible. ell inu- xnexible («llinjuy sss vexySevLse land priuteni Lellnsdy dird Thi is buna essible cll iniury NeLxasis and Hpoptasi 3.lulax ldapladlonsisomt li adapt to ihe hang oheh ihex isinxeaedun dional dempindand Hhtn yeueT bac io normalsiale xsis tmoued his s Anozon allulax Ciclapioiion t4Hfophyhyhr Iiophy huþeplaia, hiablasia ind 6lysp1asia Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA .PHA
  • 2. CAREWELL PHARMA Page 2 of 33 SUBSCRIBE us on YOUTUBE REWELL PHA WEI ate OPageNo Cause o in he cauuLLOL both eey.shle. Ci xe.ueYLble Cel injuYY_akeSimilar lany O Iht 9Len belos m yRSult initially inYeveYlbr njy he. iniury is6SuuitnT See Hhe YaLhes oini s ná Yelun ad IYXEVeXShleiniuyyhul minajingih tldcath Loi oCuY assiHe CausE 6 &ll inuiy 1ndud 1HybOxÍOand sbaemia L 2. PhiLal cGrni 3 munaladiLal',aqin hemigal agtnisand Dhug 5 iabial acon 6. thsloqical Jalo 7 N idml imbalante 2 neliu deungtmenls 1Hpoia qe Larmia.Hyoxia iione ohe mal imboxianT (au tll inuy icind cell elealK Hybouia i dilienio lhatminf shicb i lauablbod lou o and hereloxe Oxygenalion Oflhe tiuug In lon lyaT to b iaduring shich glytolulirehexq lbSdulioncan (oninutchdenia coprisu he aunilabiliy omla bolitSuhsiaps nuding qluhig muaLadialkuhacmia ecucd bcd lots cihereore yqtnalion 0he htartJasa sksult o tenayy arltyalher Oicltiosis Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 3. CAREWELL PHARMA Page 3 of 33 SUBSCRIBE us on YOUTUBE EWELI ARE WELL PHA ADate: O Page No. "******** bysiLa agenis axious bhyical agirls which Oxexsponible or cel jnitny intuce iyaumá hrat coldLhan and adiationssuch asSun buan,due do UU- ghi doamaq bihe sbin Sh_almos pheyiL pressure mmunalçqical qqtnis Immune SYlem_StVs- Csoneo h desni ggaint BioloiLal aganisbut inmmunt adion y a6 CusE- injtYSuch_asanaphy_ladii hypeysniUiy Xiadion OId damúy (awrd by(Lu toan iiboclits Lnlindie bxodted byl lhetody cLDT oan iissuuK Cand 4ChumiLalaqents anddauqs lheye a1u aaiOus chemital adenlsand diues ohich: my Laus SeveyeaPin juyIhasddinlud uluose AY alt in lhupeonit Lonc tnAT high_(ontl Kons Suth % merLuic sadu, axesenit and yanide sisjdes andhabiidesltoi lablani_ Thexapedic dug ic damcaetoorsophagtal mluLasa (acidenal delibead Sibial aqnlhrious miLiob such 4s iniion Latstd by sichfsia, iuLAbXoozod ond baciria cauXt (4 inury Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 4. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 4 of 33 REWELL PHA EWEL ja PageNo. uama** ubeitulous intion o ihe lung p amageb upi adory mutasaDYh4uno NBUS holoqilal adoa Vaious þrablems ( alsbolish drug dcidion ancd Smabing ALltin djiehESSuLh as liuàdame- Lg Lante,peplitulcer adi tardiauatulá ditases NLilionalmalantt-Relalive oi abiolui deirienty Oy exLAOong omorehuilen lead io (lLipjuh y'roltin caloxic inyCaust anappallino number o dedh NLidiondLauS_also'lus ll inju q exSS O iþids calus atheaSClexaI? and obei 84netiadoxsi Gineli iniuayLan kstlt ina dt a aioss a dhe Condtnialmaloilon asaciaded Pailh auan sundrdme,or imle amino Aid SubxiiuliontInihatm 0q obin as Seen in Sichle ulLanARmia 4 Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA .PHA
  • 5. CAREWELL PHARMA Page 5 of 33 SUBSCRIBE us on YOUTUBE REWELL PHA EWEL TO Page No. athoq.en tis ol tellinj ahoqnesioIcdemioa_anchyhoria idurd cll njuR edhoqenesiso Raveasible Lellinju Lhe eledsof linjyynrVEALdontloaai1on Ohebbocd Subbly heischatm.ia 0 nybonia- 1SOSbosi cluxationhis i bousn_as Hwtsiblk Cel inuyytlhe yaxious Chanqts ou h Yible ull injuyore Hooxia Ad Iscbamia AIP. Decaease p in la Scdium pump Dapaoe Dicxcase pzalein sypibesi Aanclionalard uldhasduleaol hunqts RvexstbleLtllinjury adogtnesis o iszhaemía índuld iniiibl. tll inlau Website:- www.carewellpharma.in Credits-Jaspreet Kaur .PHA
  • 6. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 6 of 33 REWELL PEA EWEL EDale d Page No. 1|Dxeass A1? oduciion IY iequisedox many syniheig a ceqsac.cative_þyoLAs in ih ill FTY roclu hy aobiL nispixadion (whith Xequle Oxuotn R miiochondzia lsthaemia and nyboxa aeceasethe_oxygin Subply do dhe ells uhith aturRae HTP DidduLiion om dhe 14DP_ Hexobi spiyaiion (hd qlutoseallabili both_afe (ombromiscd In hamia obIth ultsin more seVeye T O nu- 2 DecXECLe phBetaue o_deheCLLe xygen subpl heuL mibhndrial acohi xitpi iian i lolloyoed by suoilebh to_ahaexabialutolli athdy ox lheATP zequiyements aumulation o laiL akd YsiU Hhe pin dhe'ulasol edium DUmb_cdamaqedgdium_pimb ie Na- ATPaie obexde qt theploa memb tabilh allous adive anspeat Sodium oui Hh _aandbaiasium into dh ell. 1tad ATP ea in he el intpaIeLilhhs nm.ban oL his leédsto ineauluar acumladion oliodium_and diuion a btasium Oufnd ihe. llLue to aluiulaton Sodium in dhe cel it Ladc do intx in initactlular gid lo_minlain Ls0-0Smi toncdilion. Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 7. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 7 of 33 WEL AREWELL PHA ate d. eeaeosoein ynlhis Riho.oms arg delashd som doplasieiiulum ERLCndoyso ms are clecraclkd o mahosame clueip hyKiO- hiutimtily leadsbdecxLask_pio1žin. sqhlhuis O0 PageNC. unLtional changasundional disiur babce acL in JeVexible _cHLinusy g due ioLo nohaa olusion myoLajdral eonKaiililg-Last Lhin_onYhinuie buT, (an be yeLSecl on uloxation o Liulaiion. Hasyuutual thanggsi o chondiialsuo:lline i lin iqluILs aXL Uingin the Lqlaplasm- _oLside ihe u iiy mhne bund paysomtsge detachid aom hSuxlar O OuGK fhdo plaumiL Ytliulum athoqenxsis oSne vezible cillinuxY- yveYsible_(tll inuyy Ocus due b_pesiant schaemia or hymalp isxeveysible (clL injuay Hh pilahondria dusuntion is noT exuion uoanation _and all membTane inicons axeditrbec hiious tvenis Occu iweyLXsible_alinjuay_a iven brloi itochondxial_dyslune 1fon Due lo hyparig ylosolic inluxbaions LuLSmdilyin yLeYSible n jUied lla1e Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 8. AREWELL PHA CAK CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 8 of 33 WEL Date GD Page No. . BeYSIon, uwhichisahin up bythe mio hndxia and lecds omi 18(hon cia uuntioh he xiou (hangsDbstULGlh milbthondrial_aTe deolien amaphu Calcium salis in lhc. milachanCialtli} ermbrgne daaatT nshaemia Hducd imeveSiblc ( huypaiulaaly plqsma membYane damaed n His pxoLcSS AscAtpirfrd in- huous me, hgnLLm axe lnuolu shmiolhyporia AIP Paadurdton PhoaphsFd lhal nthrsi Endothrlium milochardhia) Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA RE M
  • 9. CAREWELL PHARMA Page 9 of 33 SUBSCRIBE us on YOUTUBE REWELL PHA EWEL F Date m CO Page No. LsLbaepnialhypoxia APhcdulion Pospholipid 4nihcais Repekusien £ndoibrlium paenhymaltrll 1GLdag Rþexlusion amibrhorduio L4tosol) Pdhpliono Hdiaionol phapalpose. pofr ase bid. piodaiioh h Phosaholi los uAbuab ulesaldal damaq ldouh Diodni mbyaTK laiaatalluon tn2yme libraaiian auath melin Knosi, doyalyais ayomhžir (Yuclem Lhong _ imume- SGOT, MB ln DH. Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 10. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 10 of 33 REWELL PEA EWELI AeDate dPage No. O membxane_pbashholipid.llue b defititn XyALh talcium shi pom mitachordria ond oblasmiYdicúlum inladhe (ylosol Chen 1he level_of calcium incaease in he iasol it adinls tdcgehaus bhasph»liase omischatnaiaissue Yabich da0 th Phasbha lipids o4 the membxane -hothey eson ox membrane bhospholipid damage is decxeastd leveo HTL LGbsheleal anmoge-Theunciion of the uoskelel Hamenfis o tonne he lasma memban the (ell_inteioz ddialon o dltaJes b incxeased_ (an damage he (b sheleto elenehts Rative xygtn speciesdee oditals axg cilso nvalued inh xoceus oine vasible cell iniuxyhxiou loiL CyGin oditals such4s supeoxide Lo, bydaoxy odicals loH) and lhehboqen bexoidCH,&) A incxeased in hdemia ee clitalinunyS Asa opexal in sihey_xOtsA SuLhA n_Lhemical injudy odiation injuy-mitnobial 4iling y aziq enesis and athnasclexasiL N bid bxeaadoLsn ocduds aeah_danbeduc pid shith_aumtulale în dhe ischarmi el xesuHs in ulbex damaqe a 6ther L membiane Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 11. CAREWELL PHARMA Page 11 of33 SUBSCRIBE us on YOUTUBE REWELL PEA WELI Date EPageNa. magebiccuced by Rha lusion-alium, homeuis isdiluabec üan ebrlion_o njuxtd ells, Luhich 1tsults inlag nlluecalcium inta dhe ytasollhiA inuxtase |leieloalcjum in the cydass ay ltad o aciivaiion qf mtmbygneShospholpasesLohib CCALustS dqadalion ophosphalipids Hydxolytic.cn2ymts iouhudza ii tn2ymt suth_as DNHaut RNAaseaf pxotaasES d2 AxL Tleased ducdo asomal mtmbxant damage_onen ihese t3yme eatialed Ldhy Ous digcsdion 6 lluax Comontnjiand induce ipiots nudleax chan4es Stuth aspybnosis dayyolsis apcd daz yol beis hes m fiquusua phogotoed bh hoaaabaS 4Estimdion olEmyme ibithuseuma Due bdaúg ohe Cell mcmbxan aaious Lenume_Such asSGOT,1OH cIn A- MG_a ibekaded inb ibe Sexum Lehich may be stimaied ox linital puapose schami /Rebeyuionu R iniur Lohen cluxaionO haimia is shoxIepe.Lian e lonedheuntlional ardsisuLlural slale a HhcellLI ihousn a VErsible tellinuy ashenduxction_o chaumia ilanqty hth speruion,xalher lhan ii toxation a}he Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 12. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 12 of 33 REWELL PHA EWEL Dare dOPage No. he suclure and lunulion, deltaiom alxtadyinjuxtdcell Thii irausn a schohmia x«preasusion iniu h bmoin mchanism behind_lhe iHatmia X2pEsAia nduridc injuay islhol scNaLmia_ Ooducesalyheo (ellulan damaa genexalidh olh e xditaPspeis ubsequendlyYérusion_hovides abuhcant mo kuay byygen (o) o tombint_utbse xadicals om ealive oxygLn sperieiCkGS thot ead deeodial-induud ell injuy adicals axeqnaaled sithin inny mlochondaial mebyanespaue dungpux lecinon duciion o gin lo)lalilu HO) olaysd by toHomtcxidastlhe ileamedindedrred oysan Sbrc ax thcard debending upohnumbe a eledon ansexd duirg con Vesion oloaun b nlThese inclda bEupxoide O Hydaoqen pxonide(4Q) lo dedions Hdadtgl xadical (ot) lhire tlecdhons one ledon ome odhex oxuqtn adicalSuch as hybochloxu aid (Hotl, bikoxynitnalONo)ni onide NO) axe also atneXaled by 0ilous bocly (tk Website:- www.carewellpharma.in MA Credits- Jaspreet Kaur PHA
  • 13. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 13 of33 AREWELL PHA WEL ete: HEXatian o te dica. xec xodical 'axdquntyad.d_duaing Lonitision_o- bHO uo-oidalion n2ymali Xanthine.oidas SupI axide Dismuae(SOn)_ -2HO Kalalase GSH Racdudqlulalhiont RH,O0 frmmon raction. Rodio lyis TENERATION OTREE KADÍZAZS5 Hxee yaci.ca medialid Madion Ot oall ihe aee kaditals,hydxox 1adiuals axc mostseaLiiwecx4qn speci Hedhonyxadlital W Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 14. CAREWELL PHARMA Page 14 of 33 SUBSCRIBE us on YOUTUBE REWELL PEA EWEL ae Page No. hccluc.es mmbane clameq by aaiOus meuhanisms QH- pid pea.oxicklan olip OMA,danaqt Oxidalion >l_dialk 1Lipid_beroxidalion-lhe hydoxyaclital yimqua hycxoqn om ih uhatuaiicd_JalH aud o mtmbxane bhasbholipids lhe ibid sadilal| ssith molkLubr oqun and ipicpxoide Yocical Ih peoxide xadica emavin4 únoihiy hydcqen alom SLond unsaluyaltd atauid. A1pid _beid ando hus lipid mdiYJult, ando Lhain XROLlian ls initialtd omsa YOm 2o1in oxidalion Hdaoxyladial may also atquh boieins(ysiine mtihianine,dginine lad hiadidint omoe yulniagble,loHleh byO ue ooxidhfivedomaaeyaq mtnllka asslinhi ng ad euenlualy degdicdalio bxoltin hs_plaue Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
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  • 16. CAREWELL PHARMA Page 16 of 33 SUBSCRIBE us on YOUTUBE EWELI A REWELL PEA Date d O Page No. i a nenesanan LonizingIadialion. H OH Non_ xotaling tlls i Psoliyali ell d Deaoidalion OwAcamg amg ull mmbxine TnbihitDvA plitadlion.. NtLxosis- Abpolosi ttH-dtath4- YadhogtnsisOpH usicalinju TORPHOLO4 OC INJURY ophalogy o Reuexuihle ellinu. lhemoohobaA hc xVeible-rl injuay dencdd bythe lum lhoqaietau arious moißhologital Lingt whithoLLu duxingtl Injdry anei Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 17. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 17 of33 WELI ARE WELL PHA Date dO Page NO. " 1Hucopi hapgeslulox Sarlling+ 2Hlint hanges 3PLoid honos 1atyhanq Hcropi qhangs HudaopiL chanqtis ont o 1ht litandLdamonomo u injuay Hdsopic_cbange bm olhxsunonumsha Cudly Su ngdue to qidu ipp xant o be itd axátan.s_and aLuolaa deatntailion duc loiapluthmi aLualadion. anbhltzial Hexinshemical buanbigh {avtcx (aus af hydopie chanae Hyalint changHylaint meansqloss ohithL Aed o dudibe hista legial tam r glouy hatmaloz ylin abpiaaan in_ hat mddoxin osin laining These cmmu may be inaululaz tLihacellulax axe asodialec ith heltognoLLs oa1hologicLndilion oniaaululaa hyaline H obsrzvadUin hiiheliael Ma lay hyalina4gne4ai o ilamenih hbadyddluing oHoli. lvey iliniuxg RSl bdiraiLosiveimmunoqlabulin RERoohsma. Hyaline dxapletsiEaive tahso blfon o peunca xolin in xainallu bulaa Lthelum L Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 18. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 18 of 33 REWELL PHA EWBLI hEliallulay Hyalinti Mostly sitnin Conniive istue eq Hualine artoxisclesdi in une vesst cting hypryltnsian Lopo dmylaxta in Oudcd. mss o Lonunlxi Dhyaline. hmime 1n posla in eldeslu- HPAge 3 uLoid chanqtsMuLAus_Ís a combiali olein cbmblexud ith muspcl4 sa hasicke whith is Seziled by muusqlar Epitheliab ull o mucu mimbah glcinca oelL_as Conneuiiveissu Paodu muin aEpihe lia muuin tain Stcxeting lumo o,oaxy STotich Cadax shal Jn mmcalioh omulotumembra bonnedive dissur_muin 1- 7n myxacltma, myX6 natóLS Chahgt uoicd chang in sam umo3 such >yxoid hahg in syhonlum in aqlion o isd Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 19. CAREWELL PHARMA Page 19 of 33 SUBSCRIBE us on YOUTUBE REWELL PEA WELI F Cate: d dO Page No. Thnalluloy HLtiations in lipiclh, holtins dnd Cor bohyedrcts ATniaacllular accumulatlon o libids HIL Rhids such as iniqlueacyide,chalateol,- chalestol uig and pKasbholibds aumulai in iheully. Hh no ma comblex a lipdscand Caxbahycdxais acumulaie in ihe ysotomal stosqgdiseaseshospholibids cremaia CmponinT Al myilin iquu ohith_aiesLen- in necxoliu w , Steatosis or aty change blealasisand jatly| hangcs_descaibe. hg anoymalaltumulafiam| hiqlultides ioiihin_banthymdltlls, in Jat mtomlismo lafly cbang ae mOsil SAh in_ ljvY buutalo my &uas in hti and dnty _nd other Osgak VaiousLauit osieatosi inlude iuss gloho (onsLumbiion Obeaiiy oin soin malnutiion Dfa bels mellius Hnoxa Sv 1llnts g lubeLulosis_ Hyho ia alh o4tn&ai o suasasis qids,lipids eniay the_liur Lell_tither Yom dff ohom adibase isueInh livercll nolmm imal Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 20. CAREWELL PHARMA Page 20 of 33 SUBSCRIBE us on YOUTUBE REWELL PEA WEL EDale Ga PageNo. theact jals hoost a the aaidi o aig Lanc som cumount is changed holtieyGsleDS4ton bedtsand phosphalipids Jn he v elliqlyitide qui ibidauplo_byalin tooIm lipa prollin, Lathoqtnasis osteataiks Dit 2ueaty Aid Hdiascke Oxidadienb apid quuephaiphate Ilone bedi >Phesbholi bis. thokdraldas. >Liv- iglycaide. Libjd aupta rotein Lihopralein APlama ihobialein Tn at livadue to d is onc or moiLa hsizR giun_belous inat mtabaliim, leods inlacallulan tunulaffon of triglycerida Inatad_aHy auicl_eniy indhe li Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 21. CAREWELL PHARMA Page 21 of 33 SUBSCRIBE us on YOUTUBE ARE WELL PHA EWELI Date Page No. 2nCasedaHy aid synlhesis by lhe ivtr. 3-|De CMLc aty aid_snuey sionsinis lont bocias Dseaed kbicd acupto prolein qnihesis b nhihiiionoibòbiotein Cxueafion -o m Hhe ivEx. n eo v llinfuay due la chionic holismaiouadoaxe inalurd suchu 1 nasd ipalysis 2nCsedsyndhuis ol hee_aty aid 3 DeLise uii2alion ohidy icle D rd oxiadalion_aaHy 4hd6 elanesbadis 5Thhibiiion in lihop sallin xuetion Btaullular auumublicon _ol ca bohy.cxates CGlytog4tn) uulaiion al in the tablasm ls may kads a þadhalogical stayein ihe vakious Londition Suths Ln alcinlnia n whith, ihexe is xassive xenal ubula ILabsaypiion o2101tin by thioxi Hubulaxeiibe lial lly ohith uhoLsP haline hanqghe hyalint chargidisabbeas oiih LOn1o o iinuia, 2.n anl alobular depaik, oamutaNtbraiiins in lh blam a hbais ys san deiuny fosinobhilic Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 22. CAREWELL PHARMA Page 22 of 33 SUBSCRIBE us on YOUTUBE REWELL PHA EWE A0ate. PageNo (Ohhatelula attumulatfsnolabbhdad Godn iy a adtly cauailable ene l Hhat _bxesrnt in Yh uaplasm umuly. h lloan ours in adousiLonditio0ss 1In diabtes meliiu. Noumalublabe lue imbtaixed whith leads to iniYaLLllula aumulcdfon o qlucoges deosiiI AYLStn in ebihlium o IAY bition o OXim Conalultd dubulk am desiinding aop nlk npanatiL E- cllsioivi indn inHh{_ ardia muLglL lly lLa1aLuali in lh loblaim odh afLltd itllsartSitn du togin depasilion. 2 Jitc hstoag CieaSLL O, In SunihsiLox bytah dduon bglytogen xaulh maufsiocapilinq, silbtuohdary injuu anc ll deadh d TO XPigmtntu Thgseatthedolouudoisuhulanta. imenis ant þrtstnt in most liuing being inudin4 human hese ais cassid inb u ma?n_(cle goii Encloqthou bigeniL 2Exanous biqmnisa 1Endo9noupiaminishas ae_o1md Lonsuuns ohe lkllsad acumubleund speicalLoncdiiion laious tdoqnalusLbiqmenisa Website:- www.carewellpharma.in Credits-Jaspreet Kaur .PHA
  • 23. CAREWELL PHARMA Page 23 of 33 SUBSCRIBE us on YOUTUBE EL AREWELL PHA FDate:. Mlanin. IOchahasis. LHazm9pio14in deaived piqmtnis. D paussion Page NO. i ammnaaae lanin tis non hatmoqlabincluiud brOLon Douh _igmunToxmicd sht lhe thumtiyiosin ¥ cdlalyhg_oxidalion o oafnco dihychoy phinylaluminein mtlanoi Houweve Somei1. no melanin pigmeni i visibl becausL y0SLne Dsnt hutit i notiadivt Melanin Lbiamenation Laur unalistd hpebiomendalfan.eg Hcdison' disra hleasma oal hybpig mtnalian eq Mlarosis coli milaioh iqumOUIS. tntalised bybopiomeptation.eq lbioiam Localisrd habiadnidlion q Miligo, ltucdoa LOLhopasi Ti anaudasp.mal tcesiuedispd n och onasisheeis deicitniy,o an_oxidas tnymquizudobaraadouen homa9tnlisie lacid ohich dhenátumulaies in issue ançexxeted nthe usine igmerismelahin libeian mosi aeleddiue t Lasule joint,Lalilagts igcamenL ad_ lendoni HaemoYolin dexived iamen LaHatnpsidevinis a heatmoqlobin deviupd 4oldtnyt ls broonLIlalline oncP gonula pighdni i ihe om ahih Icn is slotod inlhe ll Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 24. CAREWELL PHARMA Page 24 of 33 SUBSCRIBE us on YOUTUBE REWELL PHA EWEL Date: d do Page No. s Hatmasideain_uessleads doi otalised huzmasideasis ie ta haemo hgaein HissLLe loalised _batmosidiosisdeelabi Háemcal ibpted due o lgais o d tls, Lshiu Halatn up _by macahhaqes uheii1diqlod ad sloxed a hazmoiceain * nealžstd hatnaidoosiilue bhaemohagin he iuue localied aemosiderasiu develops aemcqbbin i libevaled_cdue to lyi ol td l, hith i taan ub by maLahbaqrs htr t dqaacedand siaId as hacmidein tnealised_hatmaidexasis.touuxs_clue Si on ourload. lu yhe aam may hthe: nchmadou debaslion_dhamasidešin C xhchymal e oihr liue *Reliuulaenddilha lialdeboslion ocur in -lheliva ord splen- ub Rzubin. IEisþrun in hebile Biliubin s drivd apm Ahe psxphyiniing o h uim moitiyo he ba moqlobih phen bilndbin'inuueasts, i lkads do a iniLa (ondilion Xnou9n ai jaundite M hustin.It i foton (Lwea and 1tar, agir bigme'nton lihochiom Lialuini qullbui oonn colbus i laund in olraphiedrulls old_gge hinu fnouin á weay and tal or cinq bimunIti madly Steniin li, htasl Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 25. CAREWELL PHARMA Page 25 of 33 SUBSCRIBE us on YOUTUBE WEL AREWELL PHA Marpba.logy o iueLsible tl infuy. IANEYSible e|Linju1y os eceah 'mayOLULs n iheliving body a lotal Ox oca ang- Schasauysinasi andiabohlasislakMd Hhe changts ha sllous Such palholoqical (aliicaion and qanqinehe yanfous athologícal bracess bhih_arein ohed in Hh eM dealh-CLrt uHalsistliblyiis alo 4noLon_a salfdiali od wheniving bady issuxxoundedb nammtaiy LaLti8n on may oltu As imoailtn Yhange tahen lhgae Lomplele absent inlammalosy sincundinq tutolysis oun by the ndolaictn2umsliberaled b dhe osome INLaosisL iihe lldealh aciunsby lhe ibuaion o thehdso luliL enzyncsom the el Vaxiou aqunis such ca hypoxia, bhyiital 0qni,Lhemic ainlsimmunaloita agent ancmityabia agtnt can tauseneuiosi, kdigesiion y he 4di 2ynme ad denaILukalion o acleihs a1 Lsshlial chonqssbrinq aboui Imcuezsible cellinjuy in nuiosi Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA RE M
  • 26. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 26 of 33 REWELL PHA EWEL dO Page No.: s Neciosis Ch h 'basis of mouphalogNlecais Ldir ino allaLaing yba Cooquulaive Netiosis II|Liatelaiiue NecsasisS at Ncosis (ae.aus NleLKasi VHibinoid NeLosis. L|GanqKenous Nosis I oaquladiue neLxosisiTtian ireiezihe dalh_cousd by ischatma andmo1rdly Haom hemitalond baLteaial aqenis. Lt is one lhemo(ommah ybe ne rOsÍsnd ainlyG{t_hrart 4dhey ad spleen H ihe ceath O lhe ul i Aulineis main talha Lshen clisslaintd oiih ha madoxy linad osin,he yio þlosimO heoliu lM i mo eo.sindphili Ahanhe lu ual yhnasisé whtn muL lkus hromisSmalleä due io! Londensaiion o nucleo hiomalin. aryonbexi ahtn lhhuanaii nuleus agminidinomanymcillid gaamdai 4aauclyis.shih thepyhnoii dular zkudd aom he T qlanlive NecrosisTtis dlss naLonas Lolliqualive neTOsi uhn Hhealeddiisalulion oh hcioliuull is ie han Jhe ale ol iuaia, lhe sulling xpho logLal appLaante is anoan aake Jaudi Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA .PHA
  • 27. PH LA CAREWELL PHARMA WELL AR SUBSCRIBE us on YOUTUBE Page 27 of 33 ARE WELI LE is masilycausid by bydalylc tn2ymts 9 na baain Gnd abstcsš cauiiy omd By iqueactive neciosis in asolid issur Date: O Page NO. 1 at Nagsis It asily alds odiþai issu and Om_un(Jeatiiisho ihauma.he tatuns ohich clkleymine lhis ype O nIOsLL Be xsth paiglyt idzs in 'cdiboc issu The Dxotsof hedM slais tobih, digelive tnumtiy| Lushih a nOxmally lound in nYeadi duk4 cnd small inlulin ce Xeleastd om Inud baneaii aihax (alls Koleas and phospxa liba uleas sdomd diglyu des Qmatl. on seatic iasehyd olustd Ahis iiqlycuídes înioee Theseaty ad aie bi piiald as laljum soabs, ohithdeposiisiai ihe pipheiyo hc iqulax- islanc a ty aid astos nasisen ubeyulosi lnalion neuoi aundin the tnire olhe ou i AnoLin_as, ase.ous nyiQsiL. 1Bolh éoagulaiive. and liqueadi nLaili Tu axond in caweaui neosis n Laoy htLaaisunliacougulaliue necroi, he neioiin ullail o elain lhin ullular loulline binoid necxosis t ik alsa anaan asibinoicd degenexaiionn ibinoid ndoSÍl,blasmapratin lacamuledts in dhe injuud bload ueiels ushidh_causa h nllo tain inienuyib tasin Website:- www.carewellpharma.in Credits-Jaspreet Kaur .PHA
  • 28. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 28 of 33 REWELL PHA WEL ADate . d Page No naienOLS HELIOssLgan4zene) hili thaedtthing netion Bypuiaeloadive, bcleajn hese ane uwually ancdexobi4am-po31Live loslaidiun spp desved omlhequt o sbith_thive"in Londiifong aloLOqn thsion. yanqsenous isur sOL Sm IIng Had blaa. h g LGmple is gin4theOfeaey imb caused b a_booa blooc subbly dhdd SLubeimpoard baiaial inhdion. he Loord qn4xeng is ustd lo desbc the holidad o a ofa limb shen lho DAmeum bobasis Abobiosis ia paoqammeclcl cleathlhe tuim apoblosisideaiyec o 9hLaad manin diobhing o O allinga bsbi6sisbloys n nieg1alok| hqdax iey o4 bialoqica uens, hludiry mozphogeni issuc 6meosidalsdd movaY o unaahted 6r haamul(ulls. he moabhalogital Lhanges oaobbis inckdea ellShain A44 2ONAamelaiion 3 auima mtmbrúNe blabbing ondansadianallohlasm anc Nurleus 5.loxmadion aao balibadies 6Pho4Olosir ol amblalit bodies by dhe ma paga No ina mmalo1 eALionOCLuas Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA .PHA
  • 29. CAREWELL PHARMA Page 29 of 33 SUBSCRIBE us on YOUTUBE WEL ARE WELL PHA Biochemical chancgs Bpoplailinullk ashally exhibit ditinctiue hiochemical LhangusSuth as CO Page NO. 1 Koltin leavgqaCne ahe sptili aluothe abptosi i prolein hudiolysis invaluing ihe autiuotion_osVEYal Kaumtrsoyliheolidies nantd_ú Lapau dinoss linhoqe itnsive_bialtin_(iossinbi by aansguamiar audiciion conuei (ytoplaimit. ioltins Inio (ovale ndlylinhed shyunhenulls ihl l beos inb oboptdii bodies hoholidylsexïnc Bhsptoic ella dlinguisoble bphosbhatidylseiint exirnalizaiion,idtniyinj Re meluE dispasal hough_þhagayiais oplolialls tan be idunli|iec by niousmtdhd L DNA caqes dedtuid by gel etho pho isi Ennoin yshih hpoti apepioli ll mm.bxane aingphos.hhailid ylarini on he plena saxau oll TLHaemakylin slaining of Chxomadn_tondensallon hanii oapspbsis Aobiosis Lan'be isgued byieapal and inlend dimuli The sptiliplasma membrpnt dealh seepla tonile heîteanal palhusny oxiginate oiihin the mitoubondion ADadh Recebtoa athuny LBMikcbondial athun Website:- www.carewellpharma.in Credits-Jaspreet Kaur .PHA
  • 30. CAREWELL PHARMA Page 30 of 33 SUBSCRIBE us on YOUTUBE REWELL PEA WEL SDate To Page No. .d optosis isbiolgiLal baocei papiosis is 1esbankfhe o2 mtdiaiing ilda auide ariiy o_physialocital abd_pai» logutal oCtis aY undka hsiolital _apopiosis Ebrydqunais ormation ofligitsasm limb buds lnsirual tgleiendamtiricl (ll_lass. cast ding xNaial of changt ln h adalind batut onte batcast ecling 1s1zishs Nmmune ull_devlopmeniidzlyelion a muni celk C-all Ahat ay1Lad ouih he body *athological abo blosis umou h balan(e blusapo þiosSi anclca xolieralionjsdistusbed in heapla.iia LAnophy os in anaphic iuesis bu gabloris eg ial he it heilis OS lassof ymphosei by ahapi.sis alhologi Lliicalion ialka anpcon as htlesihobi calciltcadan lhologi caluiicalian s C_Condion ahen alium all ai dasiid in lisue dlhesthan aeoicd o emmil. here01 a gineial O aihGlbgi_Lalitaion_ DabhialiIicaiion LDeiastaliu Lalfitation. Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA
  • 31. CAREWELL PHARMA Page 31 of 33 SUBSCRIBE us on YOUTUBE AREWELL PHA ARE W3LI Date:. . OD Page No. 1U4shophiu Caliliialion.IHislaLondiiionin oich thtae is deposilion_o alium and olher mintials in drad o1deguhealed liau iih hoaalcaltium levelu_and calcium milabolisn ometors lihe changeof pn lha htLotic Aue and aleass oYnmts, q alboline_phosbh ase das iali talciialion2Tisa (ondidion in. hich (olCium_ dasils in boxmaliSUsO - assoLiciled uoih hype_ (al (atmia and de1onged Calkiummeiaoih Becaus byp talcatmie Casts mtlauiaiiL T may be due do LAS idemobil2aiion oalium om lhebans ive ahorolion Ldluium om ihe 9ui Bony deshudian leaians Juch 'a msiasli aliiaalfonin normolí lissue Abopiosis Loss oellHscullconladNo such los OLu- 2Csbinbage homalin codepsaiion Nucleusdiuluxed gnc DNA rd DNIA hog mtndadion damaq LLu aandomly Nsilamuion 5Dah o ngle ll ulo munodatntulldaur eLie aildimuli Requi seE dinali enta4 debdent O elk and plasmaOgaKllkra1 dama4Ld andd mmbiont is iniad_ plaima_mem bsan NtLIOSL Sue llina nbmiion OLur 4 Eneyqy loRS noT 3e4uir/ Laupled. Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 32. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 32 of 33 REWELL PEA E WEL Date dO Page No. . llular AdaplalionaLullula odabialion i kodilion whtn Lls maht0umtnis usip h hnangis in lhe nuiIomnT, o the noh- cdtusiaests liba patholoqitdl njuy ad h Physiol0gical nttds Sameo these odablalic Dyolvehangesi llular91osihi2e y Heto iionand includehyhyplasia,_ hyaiiophy adsophy Onc dyfaophy.. 1HHprblasigHyperblasia isan inuta1tin h numb Quis in aD Oxqah 0iSSutohi yhen_ öueinCTLased Utumt.Hhoug h_- ber 1boobb Rinciive_paLtsi, htqunlly boih octun rother dogdht Hypta blasia cahbe physidlogi| oxpaiholoqic nd hybea þlasia_re lua hysioloqital hyþ blasia' Thi Julher an be diidedino *Homoal hype plasia e9. lhe prolieqlionLo andular lhllum o he Jemale breastot| ubiy apd omhsalosy hypblost atntoliono alloolhg bartia he hiim. L duxing xanCiny alhalogira hyprplasia- lMart oxm o patholo hyblasia ox due so tnskive homo sHmluladion ox duc do eles o asouthacdor on Ja4i Kuda Laz(ind malolus hypiaplasia ohe Sin Website:- www.carewellpharma.in Credits-Jaspreet Kaur MA PHA
  • 33. CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Page 33 of 33 ARE WELL PHA WELI CO Date J. HpeiiophyHyber1iophy ison ine. in the hel Slubmpained by on_augmenle unci1ona tapoLiiypilhoui_ any Yhan1 n 1be humbAO4 lls. H4pr12ohhycan De-pnyclbbs D_tholoqï h b&th_oih& cases hf may be inLeaLed unztonalglP mándOY t eksivehoxoonalsiimulailon. CO Page no. * ysioloqial 4peiophy, eqi dhe inlangmen oheJudenur in pis4any Pahalogia bP Lmule H ophy o htle al musle hpy phktdl imulLles in manlualklbauxtàS he tin Mon milal insuiihy_and SHhos Website:- www.carewellpharma.in Credits-Jaspreet Kaur PHA RE M
  • 34. Page 1 of 6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE 141 TRIPLE RESPONS nplaining hauoaurauc clhaun ACUTE INFLAMMAT ION nduu Hu chamqs in Hie in aspe a by fium short dumaion Cany body heaciom nesot quicbly ualy obloud by hualing mam atus - accutulaten o Huiad bplasma at sheduing t blunt poimt. Kuaction liited 'u iplolud lineKesporue. a) Kad nt aPps yiw ecs atn aokng oapillaus, unul () Fla buget nuddish apptaaute uwnoundivg #he ud luu nulli Hom vasdailauon o adiaeut atuiols lheal utlig lodeua of uusbureln9 kin due to trausudation kuid ulo eukavaacular 4pau. thse teatuns eliui Ku dauial Aigms infammatuon:hudness ,ueat, uuellug b uluch pam added. : duu to loal vasodilatuon Inhauasculas actunlin o platelet polynuorphuonuclar nubopili os inlammatoy cells &euwe aute nlammatoy HLsponse FULHINANT ACVTE INFÜAMMATION Diuided ntli golloiny 2 uenu OVASCULAR EVENTS Alaatuos in miuovasculatua earlist altuahos: Haumodynamic chaugu chamgs m vosular pumuab. 12 ALTERED VASCDLAR PERMEA8ILITY Patuxgneiu :Accumulation of oedena luid in the itonstulial pae auoundHu infiamud amu Suituall, esapt ouid due to vasodilation uotauent n ydottatc muwe-TRANSUOATE lsbsuquently, A vasulan pumahilily micnocioulation cauns harautuibhe tnglaunmatoy odema - ExUDATE ndlammatoy oedsua duu to ta VasCulav tmLabikly nplaind by snaRlING's 1-4 HAEMODYNAMC CHANGES bWood plakma mmaiate vascula Jusponse TRANSIENT VASO CONSTRICTION OF ARTERIOLES . Mild injuy uflow m 5 himatu. (6)PERSISTENT PROGRESSIVE VASODILAION nn alp, mainy.4edh nmls Capillasies. Ruuls n1d bood #e volume m miuovasulatut ,Kusonmiblu HNPorHESIS {uid balame "maimtanud ba o udniswun at hu aik. OINTRA HYDROSTANC PRESSURE )oCAL HYDROSTATIC PRESsSURE - elevald by vasodilation, usuulh in trammudation Huid m enhatellular space. Raspbnaible pr sulling at te ite. (a)SuowINGSTASIS miaoirulatuon olous 1o me o ud ulls raiud lood uisuosih l LEvCDOYTIC MARGINATION/PERIPHERAL ORIENTATION OF LEDcoo¥TES along HnL vasculan doHuum uhu huy c biy mirate to tu Clavasculan space- iratuon Mane INTERSTITIAL FLUID Pe Causng outwaad aid hom iaoiyulation CoLLoID aSHOnC PRESSURE oF mut UASWLAR COLLOID OSMOTC PRESSURE HNDROSTATIC PRESSURE O INTEL STIAL FLUID - Koies aulany MGMiment uteutitial Huid in nuvard cArTulatuon Website:- www.carewellpharma.in Source:-Unknown
  • 35. Page 2 of6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE PATTERNS oF INCREASED VAScUUK PELMEASILTY 9LEbCoONTE MEPIATED. ENDoTHEUAL INJURY Adhuunce ol lucouyks to mdohelin may Huull' n Hui ativataon Thece atuvakd lucoyts kuluau uclolylic 4m tonic O2 4prcits uuliuch ay taui mdotulial cell lju 1d vascular uaks 'Auus enules Late nesponse lur non peaumahle eudotelial lay wiOno vasuulature kcomu Leaky aused by fd vaslas pumuabilu ollouuing pallms ocC ) Coihaton o cndokulial ull MOst uommon uchmm beou umuls, not capillanis,autaiolus upoay gap dullopd blw endolluelial culls duxdg conbacton uullug uatagt Madiakd by luskanunt, bradybun Rspense ahot dwatn HUUL be aly omuud tapi llanis N ' hot uuelu immediate trausiunt rupone wila Homal injuny Hin o kaua 9 itu wluu lutocyka aduunu to VQsCulan uudbhelim -iu ona unules k apillanits 6) LEARINESS IN NEDUASCULARISAON nlucine Vula ndotulial Grouwh Fator (VEGF), dunung He POUK 6 kepain u Leaky : in ualug , tumos (2) Cowtnauon a wld wdohulial damag stuctual u-ogauinalun yloukelutern dohuial tells Ruuwuible ebracun al utndlulan uundiont a4tch ulu apillaius Meaiakd by ytvbus utnteukin I RespomAu laiu Kon Atuual hous twdauy. apt oucoe hm umeun g oi dlayd puoougdl lakage ptaramce eLneunns muliated by UV radialm () Dinut injuny to udoulial ulls: dinnct inuy auss ull nuuou puyskcal q2ps 9locoss o uuombou mvoluung Katelelä, ibin uitiatd hamgt alttus a muaOvasulatu 1d nummiabilily may iu appeas immadiatdy n may Dcu altu adelay o2-12 hs o imudiate Austaud Liakag bactuial tukcions o uolongaa luatag umal CELLULAR EVENTS oceKtstudahon od lucoyks phagocytbiu 2 ExUDATON OF UEUCDCY TES intinstulial uu mout mup hatuu of glammaton 9n aute uklammaluon, fdmapho - nuduan neuhopid coupef Liua o duleust ollouuct by monoyks k mauophags CHANGES IN FORMED GLEH6NTS OF BLDOD: Rlauy dage- bload {low nale 1 due to vadilaton uheguent slouuung HoodilNam du tw Moung, tenral osiam cellsluuoayk RBCs) uidun paphusal namou los oplama by mudaum-MARGlNATON poma e betems &radiatubn uy Website :- www.carewellpharma.in Source:-Unknown
  • 36. Page 3 of 6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE 22PHAGOCYTOSIS_ Paoes ol ullulas vgulbmnt of a 40lid paxdueulate matter Imiunobs) wll taling ( ull dinkg rinouytosu) main typs q phagocyte cells: O PMNs- appeas tay n acute iawnatony ksponuë ; hometiumts calud as mácophages. (2)ROUNG AND ADHESION ' nipunatly magnattd & paunnenkd (nurophil "ounal column tonuug uoe to wall) nuoptuils Aol oun Hhe ndohaelial tells" luun Hw w wall (adktcia plhael rlliug phaue ollouud y bonds blw eutcyte b mdohuliat cells beuemung ladhuion puauu) Foll moleculls buuy alut rollung,adlusim: e Monoyts oud mut mmonuduas SELECNNS pAd on sulae d aivatd ndoHulial clls Coll reuoqniuu bund to quytopaolmu gyolipids tn u udl sfat o nukopub (i1) INTEGRINS: ndotlial utl awface bkiu auing a o suhuuli uluch u adivad duuin Hu uvun Adhuim blw mdoHuial ulls Lcoks iiy IMMUNDGLOBUUN GENE SUPERFAMILY ADHESION MOLECULES partake un ull - to - ull ontat phagoyts caltid. as mauophags: Poh ust om neaching Hu ill o lnkectie uaduce uottolytu ungy*s ome, uateasu, colagunae, upasu de hse nzymu duqmde cllagn Cnhacellulau matrix. 3 seps phagouytvs O Ruognulion v Atachmunt .tell buuau neuuptors o mauophags KcoqNis miuoo1gamims (manos Heuptor Scauengu keuptor) MicLoorg upaid ho taling lopkeisatuon) when coakd t speihie juotus OPSONINS (3) EMIGRATION: Ae stiching to mdoHmelial ellh, uthoptil mone along u Auyace HL a suitable sili_ blio undokaelial Culls is tpuudjhaow out ytoplalmic pod Neubropuils lodgd lw udokulial ws & bazemant. mmbranw uDs by damagiug' it locally t Aouagenase Lstape no urawasculas space Simuulhanous b uigralion o uuoyka, ed uls Huu u aps also luaue - DIAPEDES1S lgCi opsorrien -naturaly occuning amt body n sum ccat bactuia Ruupor:Fekpor or lga C3b opkoiun - strcnaly chumötaclhe hon allhactg PMNs to hmctuiu Reuptor: complment huupor 13. llectis - Canbohydate bundu ucns plasma uli cell wall kuptor Ua) Opsovnns utablsh a bomd blw bactria & ull mumbame el bind to bakuial ) CHEMOTRXIS:Hisratuon of ucoyleu a uouiug uat bauinsto intoutdal tusus phaaouyhc Ggulment yhoplasmic rseudopods houm auouwnd Hu paticte duu to adivation o aclun lamu unulopiug ub n phagry vacuole-(hagosomef:s n larma mmbranu nlourg pastile tuahs ko at phagesomubuoms intunalud Chonuotans ehmotaclic uubutavne hor utroplil: ukotiune 4 ytokins (udulubin), solubls bactuial poduch Website :- www.carewellpharma.in Source:-Unknown
  • 37. Page 4 of 6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Hhe ell s lishu in the wll uytoplam. * Phagosem ms t yso tomu to fouw a bigo Vatuolu phagoysodome Killing and degradation: mamuncaom skoo plhagocyts- illing diradation miuðbu Htn biwg billud by anlubattuial, daradudby hydnslyluo uzmes hails bo El Aomu bactuia üku tubude bacilli. *Foll muchamiam invoued udisposal )&mhrauellular mthanins Rtactit 0, 4puies Nime onide wosomal qrauls 8) Ensautular muchamisms Actvated ucouyts Qmmue methaniwis Nuctaophil enhacillulas tmes (NETe CHEMICAl MEDIATORS OF INFLAMMATION ndogunous chunita uubstanus uhic mediat tu mous o inlamation Ptopesbias: O Ruluaud Ham ullh (skorage ot tunmesisud n cell) o deriued Hom plasma Motms(most tommomsilh - liun) uluasd m tponst to uutam slimuli (muious agm dead su mdiakor At om dih taageti :may at on ulls kowmed body cel4 uucw Ahort pan altr nelease : rapidly nemana nymatuc inadtvätun, amuonidamla" mast wmp Hau suuenal acions Id vasulan umabuity. Website :- www.carewellpharma.in Source:-Unknown
  • 38. Page 5 of6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE Aystemie 6eek o c: CHRONIC INFLAMMATION Pholonged elt eaas MOes w uhih tmue dstuuchon ad intaMmaton Ocuus at Hu lme me may occu by nt Ha ays o Fu :mla u t lou eig mioku AUamia: chl n acompaniud by anauia uajiug du Luoytoiu tuucoytois alorg t rulalue ymphouytosu O thuonic inklammaton (oll autu intlammatuon uthun tusue duhuchen u entemsue o Hu batvia swmie rUList oskomyius ,puruumenia tuminaiug n ung abses ESR elvated u all us Long tum casus o cw nmay duulop 2° aytmic amsoidous Antoidosis Reurnunt allaks e auili ullaunh uhun upeaked bould o auute " tlamm ulminate n chsoniwy of paoeis : im necwnent winay raut nlectuon OuouC nm-sptcikc inlamwnation ading to dhaeniu Opyelenuphiibs. yps o chuonic iukamwmnalun chuonit lammauon starbung dinovo: ineetion't of low pallauitiy baginmwng 4 ction t Myiobactiiun ritant uoduus non-ip du ig rxn on ramuulaln ine ualung by kbrois uonic outtomyeliu a vaniant of tuis tyPe 's chaouic uppatue iutammatum atnonyosit Hubuwloss Gunal katunes chuonic qyanulomatous inklammatuon injmious ageuls cause haiatuuhe utlogic tuaue rupmue by kom" f raulomas bubeuuloais, lepray, 4uphilis. 0 Menonudear ull infilbalon Clu. i luions a ufibraked hy uonoulan wlls ike phagouytes. (Pagocybts mnoyks, maciophages cpikuldtd ulls) Mauophags mast inep cell m using o n adwatuon, ndau biologially "aduw AMbs Qcid nuubral paöteasus ingaboub hssue desucton , fbo toku i ulds : luympbuouks, plasrma uls, e0inophuils, mast ells). Ti desbuction/ Netoris Rupuglt abaut by autivaka mauophag4 which Lpas ROs, ND, yokunes solienatuw changu Kuleas latasu, colagunae mf amdlU loal unels toroblaal, 4timulaked koums g qramulabuon Uu buwna Kibro0 Website:- www.carewellpharma.in Source:-Unknown
  • 39. Page 6 of 6 CAREWELL PHARMA SUBSCRIBE us on YOUTUBE har: by 2 iutuntivn (2° uionm): peun t a Lamge usue duect ug tusuu lou e ells b nus wound notapuosimattd ungical suluu but iu kE ep HEAUNG dy'k nsrense u a atunpt to Hstoie nomä zr " 9mouits 2 mouns Lgunation hiaung bynoliatuon panhymal ullsconplete estouation onigunal tiues Lepous hualing by uolijeation Conuutiu tnie "rultiug w hbroe Healing o kim wounds lasical enample of comb" of varep OHealing by 1 itntuon (1° uwin) dhas clan niuetd wgically musud Tout much lou of wlls' wmues dgs owound apruoKimatu bu Uagical &uhues. ial hamornhag mmdiatly torainguwy, pau blw ntgus miud wound fitlud t blood Huu doty t seals Hu uwound agimst dey diatuon t inkduon CAcule inlaunmatoy HupruL n 24 has, appeanana f polydoyhs hem mangin incion iEpiHulial thagrsl aolindton o basal culUb q epidumis owards inasional spaulw thw hown eplelial spuw). Miorated pidmial ulls deparat Hu unduntyng wiable dumis hom lying aöhe matuial komuing Stab wlich id (at ohb By 5" day,mulhlayoad w tpudmis u omd Dgamuau.onl: By 34 day ibroblaut wade tu wound a. by 5" day, tollagen kbrils komm uuich dewunate u alg umplt. tiuue is dup kud, qrmulan, fragile . uuks, 5an mue, a u b uus, ept multalisd mutau u fowud Sukune tradks 7aas kom 1 uin in tai lag L diet uluich has o bu bridg ALalug hyom baLL upwand & mangn inuwnd douw hualung , luge,ugy scaA (as compand to apid 0hualing neat Scaa o 1 uuion)|| Auaunu ol ubna (D[9udial Jhacmouhae As a nulk 9 uuy uwd spau jilled t blood kibin dot fi lammatou phae] uilhal auull in naspomau ollouud by apptaMnLL mauophages utih deas d Hu debis . üi) Epikalial haugu pidmal wlls udliuate inlo tu uwound wl Huy met he uiddle k rt-pikelialisu e gpp coplekely. henu alls don't Leuu Hu 4nfae huly ml ramalati 6n umuom base itas iliug wnmd pÃte. Tuus me euislwq uiabl lennctiuw mu Apaakd hom Hnotuc mateial L dot, kemmuig a sab replated by mauphags armulaion ieue Maim bulk of hualing u by. 9rauulatins hpmed by ucilaat onm 6 kboblasts & üovasuulas- abon uuuy pmd qrmulation Scan en matnaho buems pale & uuliila duw to 1 m calaqenk m vaaculaiiliy. Mlaund. owtraction saea 2 kalirg up, ot n l alung .aue to aiuon /34 toVy myhbrobDAlA , uiond (iPrune iukctnl kactuial wvtamiur a epun uwound dulays Hu QuL huiling duu to nulease o hat noucku neioia, dou..gal ronuval o dead Hat- tonius DEBAIDEMENT Website :- www.carewellpharma.in Source:-Unknown