HAEMOSTASIS
HAEMOSTASIS
HEMOSTASIS:
Hemostasis means spontaneous cessation
of bleeding from injured blood vessel.
STAGES:
1. Vasoconstriction
2. Platelet plug formation
3. Coagulation
4. Clot retraction
VASOCONSTRICTION:
. Following injury to the blood vessel, vasospasm
of the cut vessel occurs
. It starts immediately and lasts for many
minutes and even for hours
Mechanism:
. Smooth muscle contraction of the vessel
. Neural reflex
. Chemicals- serotonin and thromboxane A2
released from platelets
PLATELET PLUG FORMATION:
. When platelets come in contact with a
damaged blood vessel they become
activated, their surface becomes sticky and
they adhere to the damaged wall.
. The adherent platelets clump to each other
and release other substances, including
adenosine diphosphate (ADP), which attract
more platelets to the site.
. Other platelets stick to these platelets
and also releases chemicals
. This is a positive feedback system by
which many platelets rapidly arrive at the
site of vascular damage and quickly form a
temporary seal – the platelet plug
COAGULATION:
. Coagulation of blood occurs due to
activation of clotting factors.
. Occurs in three major stages
I) formation of prothrombin activator
(Activated factor X, phospholipid, calcium ion,
activated factor V) :
- Extrinsic pathway
- Intrinsic pathway
II) Conversion of prothrombin to thrombin
III) Conversion of fibrinogrn to fibrin
CLOT RETRACTION:
. Within a few minutes after a clot is formed, it
begins to contract and usually expresses most
of the fluid from the clot within 20-60 minutes
. As the clot retracts, the edges of the broken
blood vessel are pulled together, thus
contributing still further to hemostasis
FIBRINOLYSIS