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stages of blood clotting

 

 Blood Clot


Three stages of blood clotting are -


Stage 1;  Formation of prothrombin activator

Stage 2; Conversion of prothrombin into enzyme thrombin

Stage 3: Conversion of Fibrinogen (soluble) to fibrin (insoluble)


Stage 1;  Formation of Prothrombin Activator


Formation of prothrombin activator; prothrombin can be formed in 2 ways-

1. Intrinsic pathway

2. Extrinsic pathway 


1. Intrinsic pathway (5-10 min) inside vascular system


After comming in contact with collagen fibres or rconnective tissues inside blood, it will lead to activation of-


Factor XII

Factor XI

Factor XII + Factor XI

Factor IX

Factor VIII

Factor VIII + Calcium ion + Factor III

Factor X

Factor V

Factor X + Factor V

Prothrombin activator/Prothrombinase



2. Extrinsic pathway (15-20sec)

Activated through tissue factor released by endothelial cell after external damage.


Tissue damage

Tissue thromboplastin activates -

(Factor III)

Factor VII

Factor X

Factor V

Factor X + Factor V

Prothrombin activator + Prothrombinase



Stage 2; Conversion of prothrombin into enzyme thrombin



Conversion of Prothrombin into enzyme thrombin


Prothrombin (Factor II)  -    Prothrombinase + calcium ions - Thrombin


Stage 3;  Conversion of Fibrinogen (soluble) to fibrin (insoluble)


Conversion of fibrinogen (soluble) to fibrin (insoluble)


Thrombin acts as catalyst,


Fibrinogen (factror II ) - Thrombin -  Insoluble fibrin


Fibrin

Traps th blood cells

Forms the blood clot


Clot Retraction

Clot retraction is tightening of fibrin clot, with in few minutes after a clot is formed it begins to contract. This activity also assist the repair processes.


Fibrinolysis


Physiological mechanism that dissolves clots is called fibrinolysis.

After clot has formed, the process of removing it and healing the damaged blood vessels begins.

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