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UNIVERZITET U BIHAĆU
VISOKA ZDRAVSTVENA ŠKOLABIHAĆODSJEK : Sanitarno inžinjerstvo
SEMINARSKI RAD IZ PREDMETA:PATOFIZIOLOGIJA
TEMA: PATOFIZIOLOGIJA UPALE
MENTOR: STUDENT:Dr. Karabeg Enes Z!"# R"$%ana
B"&a#' De(e)bar ' *+,-
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SADRŽAJ
UVOD....................................................................................................................................................................................
,. UZRO/I........................................................................................................................................................................
*. PODJELA.....................................................................................................................................................................
Akutna upala..................................................................................................................................................................
Kronična upala.............................................................................................................................................................
. ISHOD UPALE..............................................................................................................................................................
0. SASTAVNI/E UPALNO1 PRO/ESA.........................................................................................................................
0.,. Š3e3n" 4a536r" n65se..............................................................................................................................................0.*. Eg86gene n65se....................................................................................................................................................
0.. En%6gene n65se...................................................................................................................................................
-. OPĆA SVOJSTVA LOKALNE UPALE.....................................................................................................................,
2. TEMELJNA SVOJSTVA UPALE...............................................................................................................................,
2.,. L65a!na ;a!a <er"8";e!=.....................................................................................................................................,
7. TEMELJNI OBRAZA/ UPALE.................................................................................................................................,
9. SUDJELOVANJE STANI/A U UPALNOM PRO/ESU...........................................................................................*
9.,. A%&e8"$a 5r>n"& s3an"(a na en%63e!.........................................................................................................................*
9.*. In4"!3ra("$a 5r>n"& s3an"(a 35">6.......................................................................................................................
9.. H)6ra!n" <?b"65e)"$s5"@= ;6$a">a5" )e&an"8)"..........................................................................................
9.0. M56;r!en3na ;a!a <br6n&"3"s=......................................................................................................................
9.-. Pr6)$ene 35">ne ar&"3e53re...............................................................................................................................
. KRONINA UPALA..................................................................................................................................................
,+. POSEBNI OBLI/I UPALE....................................................................................................................................
,,. PRO/JENA UPALNE REAK/IJE........................................................................................................................
,*. SISTEM REAK/IJA OR1ANIZMA NA UPALU I OZLJEDU...........................................................................0
,. STANJA KOJA UTJEU NA TIJEK UPALE.......................................................................................................0
,0. SUSTAVNA REAK/IJA OR1ANIZMA NA UPALU..........................................................................................0
,-. OD1OVOR AKUTNE CAZE................................................................................................................................0
ZAKLJUAK......................................................................................................................................................................0
LITERATURA.....................................................................................................................................................................0
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UVOD
U;a!a <!a3. "n4!a))a3"6= !65a!na $e rea5("$a na 68!$e% 35"> 56$e) sna!a8" 63e5!"na' (r>en"!6 " b6!. C"8"6!65" 8naa$ ;a!ne rea5("$e $e 5!an$an$e ;a!n6g agens
<;a36gen" 6rgan"8a)' "r"3an3na 3>ar ' )r3>e s3an"(e " s!.= 3e sana("$a 8a&>a#en6g 35">a.
U;a! ;6e3n6$ 4a8" 5ara53er"8"ra ;6$aan ;r6!a8 b"$e!"& 5r>n"& s3an"(a <!e56("3a= "8 5r>" 35">656$e $e 63e#en6. T6 $e ;a!n" 6%g6>6r' 56$" 5!$$e ")n6!65" ss3a>' !65a!n" ss3a> "!a " 35">a.
M6e b"3" "8!"$eena be8 3e5"& ;6s!$e%"(a. U 3e") s!a$e>")a' ;a!a ;re!a8" 5r6n"n" 6b!"5. M6a5 re8!3"ra3" s)r# s!a$ se;se "!" 635a8">an$a >"3a!n"& 6rgana.
Ve#"na ;a!a ")a na8">' 56$" 8a>ra>a s4"5s6) F"3"s. Ta56 $e n;r. )"65ar%"3"s G ;a!a sran6
)""#a' ar3r"3"s G ;a!a 8g!6b6>a' %er)a3"3"s G ;a!a 56e' gas3r"3"s G ;a!a e!%(a' 63"3"s G ;a!a &"3%.
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1. UZROCI
• O;e5!"ne
• Ke)"$s5" "r"3ans"
• O8eb!"ne
• O3r6>"
• In4e5("$e 8r656>ane ;a36gen")a
• C"8"5e 68!$e%e' rane
• I)n6!65e rea5("$e 8b6g ;re6s$e3!$">6s3"
• I6n"8"ra$#e 8raen$e
•
S3rana 3"$e!a <5!$$#" ">er$e' ;r!$a>3"n' 5r&63"ne=
• S3res
• Tra)a
• A!56&6!
2. PODJELA
U )e%"("ns56$ n6)en5!a3r"' 6;#en"36 $e ;ra>"!6 %a ;a!e 8a>ra>a$ nas3a>56) F"3"s. Ta56 $e ;a!%r"$e!a 4ar"ng"3"s' ;a!a s"nsa s"ns"3"s' ;a!a bbrega g!6)er!6ne4r"3"s. I8n")5a 6% 6>6g ;ra>"!a $;a!a ;!#a' ;ne)6n"$a. U;a! )6e)6 ;6%"$e!"3" na a53n " 5r6n"n.
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Akutna upala
A53na ;a!a $e ;6e3n" 6%g6>6r 3"$e!a na 3e3an ")ben"5 <n65s= a 5ara53er"8"ra $ ;6>e#an %63655r>" 56$" 6n%a %6>6%" %6 "8!as5a ;!a8)e " !e56("3a "8 5r>n"& "!a ;6g6en6 35">6. /"$e!" $e n" ;r6(esa 6rgan"8) 56$" %6>6%e %6 ra8>"$an$a ;a!ne rea5("$e' a 5!$$ 5r>ne "!e' 5r>ne s3an"(<3$. ")n6!65" ss3a>= " s3an"(e 56$e se "nae na!a8e 35">")a. Rea5("$a na ;a! )6e b"3" !65a!n<6365' (r>en"!6' na5;!$an$e !e56("3a= " s"s3e)s5a <;6$aana s"n3e8a ;r63e"na a53ne 4a8e' ;6ras3$e!esne 3e);era3re=. A53na se ;a!a )6e ra8>"3" 5r6n"n' 36 %6>6%" %6 ;r6)$ena >rs3a)s3an"(a ;r"s3n")a ;6g6en6) 35">.
Kronična upala
Kr6n"na ;a!a $e 6rgan"8) 3e3an ;r6(es $er )6e %6>es3" %6 a3er6s5!er68e' re)a36"%n6
ar3r"3"sa " 3)6ra' 8b6g ega $e ;a!a %6br6 reg!"ran ;r6(es' a ;6re)e#a$ ;r6(es ;a!e re8!3"r b6!e#.
3. ISHOD UPALE
?restitutio ad integrum” – 68%ra>!$en$e
&";64n5("$a <"!" a4n5("$a= 6rgana
;r6gres">an 3"$e5' ;6g6ra>an$e 4n5("$e
F >"ess3a>n6 8a3a$">an$e 6rgana <MODS=
se5n%arn" ;a364"8"6!65" ;r6(es"
F 8as36$ ras3a " ra8>6$a
F ")n6sna s!ab6s3
F a36")n6s3
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F 8!6#%na ;re6bra8ba
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4. SASTAVNICE UPALNOG PROCESA
3e3n" 4a536r" <n65sa= F ;65re3a ;a!e
!65a!n" 4a536r"
F ;a!63>6rn" < proinflammatory=
F ;a!6s3a3s5" <antiinflammatory=
)e&an"8)" na ra8"n" ("$e!6g 6rgan"8)a
F ;a!63>6rn" " ;a!6s3a3s5"
6;#a rea53">n6s3 <56n%"("$a=6rgan"8)a
")n6sna rea5("$a F s"nerg"8a)
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4.1. Š!"# $%&'(# "'&)!
eg86gene n65se
F 4"8"5e
F 5e)"$s5e
F b"6!65e
en%6gene n65se
F ne5r63"5a s)r3 s3an"(a
35">na "s&e)"$a
F ")n6sna rea5("$a
("36365s"n" !")46("3"' 4ag6("3"' 56);!e)en3......
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4.2. E*+'*!"! "'&)!
4"8"5" 4a536r"
F )e&an"5a "!" 36;!"ns5a 3ra)a
F 8raen$a <UV' "6n"8a("$s5a' ne"6n"8a("$s5a=
5e)"$s5" "n"3e!$"
F 5"se!"ne' !"ne !"$e56>" <6>"sn6 6 %68"=
b"6!65" "n"3e!$"
F ba53er"$s5e " >"rsne "n4e5("$e' "n4es3a("$e
F ba53er"$s5" 365s"n"
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4.3. E",'*!"! "'&)!
ne5r63"na s)r3 s3an"(a
F 35">na "s&e)"$a' ra%"5a!" 5"s"5a
F ")n6sna rea5("$a <56);!e)en3=
6;s3r5("$a ;!$"& 6rgana
F "s&e)"$a
;er46ra("$a ;!$"& 6rgana
F "8!$e> sa%ra$a
na5;!$an$e en%6gen"& 3>ar" " )e3ab6!"3a
F !";"%" a3er6s5!er68a
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5. OP-A SVOJSTVA LOALNE UPALE
calor F 36;!"na
dolor F b6!
rubor F (r>en"!6
tumor – 63e5!"na
functio laesa F 63e#ena <;6re)e#ena=
4n5("$
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6. TEMELJNA SVOJSTVA UPALE
/%0'( ('( '( ,'0'( $.0%!)%
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6.1. L'&%0"% %0% !(#+#!0
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7.
TEMELJNI O8RAZAC UPALE
"n4"!3ra("$a " a53">a("$a ;a!n"& s3an"(a
;65re3an$e &)6ra!n"& ;6$a">a5"& )e&an"8a)a
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;r6)$ene "!ne ;r6;sn6s3" " 63;6ra
;r6)$ena grae 35">a ;r6)$ena 4n5("$e
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C%0'(9 ('(
;6$aan 65s"%a3">n" )e3ab6!"8a) <?65s"%a3">na e5s;!68"$a@= )a5r64a8")a " ne3r64"!")a
F s3>aran$e 5"s"56>"& ra%"5a!a
F s"n3e8a " eg86("368a en8")a
F %"$a;e%e8a " )"gra("$a 5r68 35">6
$aa ;r65r>!$en6s3 35">a
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T'(9 ,'0'(
;6>e#ana "!na ;r6;sn6s3 F e5s%a("$a' 3rans%a("$a
F ang"6)ra!n" e%e)
6s!6baan$e !65a!n"& ;6sre%n"5a ;a!eM ;6%ra">an$e n6("(e;36ra
F 5"s"56>" ra%"5a!"
F bra%"5"n"n' 5a!"%"n
F !65a!na a("%68a F ;r6s3ag!an%"n E*' !e563r"en LTB0
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M#&('/#(&0%/#% %0# ; I.
;r6!a8na' 5ra3563ra$na "s&e)"$a 68!"$een6g 35">a
5">6 $e b!"$e%6
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M#&('/#(&0%/#% %0# ; II.
&";ere)"$a: (a!6r' rb6r
;6$aan ;r6365 5r>"
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M#&('/#(&0%/#% %0# ; III.
3rans%a("$a " e5s%a("$a: 3)6r
3rans%a("$a " e5s%a("$a
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F"/#' 0%!)%
e%e)
b6!
!65a!n" ("365"n"' ;r6s3ag!an%"n' !e563r"en"
63e#en$e " ra8aran$e ;aren&")a
s3>aran$e 6"!$5a
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F"/#' 0%!)%: %&"# 0%(#"*##)
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F"/#' 0%!)%:
gangren68na ;a!a s;6!n6g 6rgana
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T!!0"# '(%+%/ 14%0!
,. "n4"!3ra("$a " a53">a("$a ;a!n"& s3an"(a
*. ;65re3an$e &)6ra!n"& ;6$a">a5"& )e&an"8a)a
. ;r6)$ene "!ne ;r6;sn6s3" " 63;6ra
0. ;r6)$ena grae 35">a ;r6)$ena 4n5("$e
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"$#0(%/#% # %&#<%/#% 14%0"#= )%"#/%
ne3r64"!"
a53">"ran" )a5r64a8" " )6n6("3"
!")46("3"
)as36("3" " ba864"!"
e68"n64"!"
en%63e!ne s3an"(e 3r6)b6("3"
4"br6b!as3"
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I"$#0(%/#% # %&#<%/#% 14%0"#= )%"#/% ; I.
ne3r64"!"
F 5"s"56>" ra%"5a!"' NO
F !"86s6)s5" en8")"' 5a3e;s"n' e!as3a8e
F ;r6s3ag!an%"n"' !e563r"en"' 3r6)b65san
F 5e)65"n"' ("365"n": ILG,' ILG2' TNCGO
!")46("3"
F ("365"n"
F ;r633"$e!a
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I"$#0(%/#% # %&#<%/#% %0"#= )%"#/% ; II.
a53">"ran" )a5r64a8" " )6n6("3"
F 5"s"56>" ra%"5a!"' NO
F !"86s6)s5" en8")"' 56!agena8e' e!as3a8e' a53">a36r ;!a8)"n6gena
F ("365"n": ILG,' TNCG' "n3er4er6n O
F !e563r"en"' ;r6s3ag!an%"n"' 3r6)b65san
)as36("3" " ba864"!" F &"s3a)"n' ser636n"n F &e;ar"n F ne3ra!ne ;r63ea8e
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I"$#0(%/#% # %&#<%/#% 14%0"#= )%"#/% ; III.
e68"n64"!"
F ("365"n": ILG,' ILG2' ILG9 F 3r6)b65san' !e563r"en" F &"s3a)"n
en%63e!ne s3an"(e F ;r6s3ag!an%"n" F NO
F PAC <a53">a36r 3r6)b6("3a= 3r6)b6("3"
F 3r6)b65san' PAC
4"br6b!as3"
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>. SUDJELOVANJE STANICA U UPALNOM PROCESU
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>.1.
A,=!+#% &(<"#= )%"#/% "% !",'!0
se!e53"n"
F P <3r6)b6("3n"= < platelet)
F E <en%63e!n"=
F L <!e56("3n"
"n3egr"n"
F LCAG, <l eukocyte f unction antigen)
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F VA!"# $A%!&'''' ( mak rofagni)
")n6g!6b!"n"
F I/AMG,' I/AMG* <"n3er (e!!!ar a%&es"6n )6!e(!e=
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>.2. I"$#0(%/#% &(<"#= )%"#/% &#<'
%"$a;e%e8a 5r68 en%63e!
5e)63a5s"$a
F 5e)65"n": ILG9' M/PG,' MIPG,' e63a5s"n
F ("365"n": ILG,' ILG2' TNCGO
F 56);6nen3e 56);!e)en3a
F !e563r"en"
F ;r6s3ag!an%"n"
a53">a("$e
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>.3. H'(%0"# ?#'&!#)&#@ '%#<%&# !=%"#+#
;r6"8>6%n$a " 63;3an$e ("365"na
F ILG,' ILG2' TNCO
;r"3$e(an$e " 63;!a>!$">an$e ser)s5"&"n"3e!$a
F 56);!e)en3
F 5a!"5re"n F 56ag!a("$s5" 4a536r"
;r6"8>6%" )"5r66rgan"8a)a
F en%6G " eg86365s"n"
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>.4. M&'(0!""% 14%0% 52('"=##)6
5s%a3' gn6$
)568n" e;"3e! gran!6("3"
5a;"!ara
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>.5. P('!"! &#<"! %(=#!&(!
%6!a8a5' 35">!$en$e " a53">a("$a ;a!n"& s3an"(a
6%!agan$e 4"br"na
s3>aran$e gran!6)a
%"s4n5("$a " ;r6;a%an$e ;aren&")a
s3>aran$e >e8">a
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BR!)##' %, #"!*(B
De4e53 e;"3e!a M"gra("$a e;"3e!n"& s3an"(a
H";er3r64"$a e;"3e!a Re56ns3r5("$a
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. RONINA UPALA
s3an"(e
F 4"br6b!as3"
F en%63e!ne s3an"(e
F !")46("3"' )6n6("3"
)es3an"na 3>ar
F 56!agen F ;r63e6g!"5an"
;ers"s3en("$a n65se
F n;r. >"rs
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1.POSE8NI O8LICI UPALE
gn6$na ;a!a
F a;s(es
F 4!eg)6na
se;sa
F gra)G;68"3">na' gra)Gnega3">na
5a3ara!na ;a!a 5r6n"na gran!6)a368na ;a!a
(e!!"3"s
5a>erna
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11.PROCJENA UPALNE REACIJE
3$e!esna 3e);era3ra
!e56("368a
F !e5e)6"%na rea5("$a
se%")en3a("$a er"3r6("3a
;r63e"n" a53ne 4a8e ser)
F /Grea53">n" ;r63e"n </RP=
)"5r6("3na n6r)65r6)na ane)"$a
F ?ane)"$a 5r6n"n6g "n4e53a@
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12.SISTEM REACIJA ORGANIZMA NA UPALU I OZLJEDU
SIRS F ss3e)"( "n4!a))a36r res;6nse
MODS F )!3";!e 6rgan %s4n(3"6n sn%r6)e
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13.STANJA OJA UTJEU NA TIJE UPALE
%6b
%"$abe3es
)a!n3r"("$a' 5a&e5s"$a
;6re)e#a$" 4n5("$e 5r>63>6rn"& 6rgana
F ane)"$a' ne3r6;en"$a
")n6sna ;re6s$e3!$">6s3 <a!erg"$e=
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14.SUSTAVNA REACIJA ORGANIZMA NA UPALU
;65re3a"
F %g6%6)e3n" ("365"n" ILG,' ILG2' TNCGO
F 6s$e3 b6!"
a);!"4"5a("$s5" <;6$a">a5"= ss3a>"
F 56);!e)en3
F bra%"5"n"n
F 56ag!a("$s5" Q an3"56ag!a("$s5" ss3a>
F en8")" "8 ;a!$en6g ;6%r$a
6%g6>6r a53ne 4a8e
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15.ODGOVOR AUTNE FAZE
5!$">an$e /NSGa
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