Extra-embryonic membrane and placentation 陳建榮 chenjr/index.htm.
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Transcript of Extra-embryonic membrane and placentation 陳建榮 chenjr/index.htm.
Placenta 胎盤
Fetomaternal organFetomaternal organFetal portionFetal portion: villus chorion of chorionic sac
Maternal portion:Maternal portion:
the functional layer of endometriumEndomatrial stromal cell Decidual cell 蛻膜細胞
(decidual reaction) decidua basalis
Decidua: decidua basalis 基蛻膜 decidua capsularis 囊蛻膜 decidua parietalis 壁蛻膜
Villi:-primary chorionic villi-secondary chorionic villi-tertiary chorionic villi or stem villi
Cytotrophoblastic shell 細胞滋養層殼
胎盤膜 (placental membrane) 10 weeks
full term
Erythroblastosis fetalis 胎性母紅血球增多症
胎盤膜 (placental membrane) -合體滋養層-細胞滋養層-絨毛的結締組織-胎兒微血管內皮
Functions of PlacentaFunctions of Placenta
-代謝 (metabolism)-synthesis glycogen, cholesterol, fatty acids…
-運送氣體和營養素-營養 (nutrition)-呼吸 (respiratory)-排泄 (excrection)
-激素製造 (hormone production)
Placental abnormalities-Placenta percreta 植入性胎盤-Placenta accreta 胎盤黏連-Placenta previa 前置胎盤
Placental abnormalities
Amniotic fluid :-10 週— 30ml; 20 週— 350ml; 37 週— 800-1000ml-Sources :
-amniotic cells, secretion of respiratory tract, maternal fluid, urine-Circulation :
-未皮質化之皮膚-消化道吞食或呼吸道吸入,吸收後進入血流,再經胎盤交換
-Function : - 平衡或對稱生長 - 提供自由運動 - 傳染疾病的壁障 (barrier) - 防止黏連 - 吸收震動 - 維持恆溫
Amniotic cavity
Yolk sac 卵黃囊 :-Nutrition (2nd~3rd week)-Vasculogenesis and angiogenesis-Foregut, midgut and hindgut-Primordial germ cell
Allantois 尿囊 -Derived from yolk sac-Vasculogenesis umbilical a. and v.-Uninary bladder-Urachus median umbilical lig.
Umbilical cord:-Connecting stalk, amnion -30~90cm-1 umbilical v. and 2 umbilical a.-False knots and true knots
Parturition (labor) 分娩 :1. Dilation stage 擴張期2. Expulsion stage 排出期3. Placental stage 胎盤期4. Recovery stage 恢復期
Dizygotic (DZ) twins Monozygotic (MZ) twins (65%)
Zygote 2 1(2 embryoblasts)
Fetal 2 amnions 2 amnionsmembrane 2 chorions or fused 1 chorion
2 placentas or fused 1 placenta
Sex various same sex
Genotype different sameIncidence racial difference the same in populationRate increase with mother’s age independent with mother’s age
Multiple pregnanciesMultiple pregnancies
Classification Based on Placental Shape and Contact Points-Diffuse placenta 擴散型胎盤 : Seen in horses and pigs.-Cotyledonary placenta 子葉型胎盤 : This type of placentation is observed in ruminants.-Zonary placenta 帶狀胎盤 : Seen in carnivores like dogs and cats, seals, bears, and elephants.-Discoid placenta 盤狀胎盤 : Seen in primates and rodents.
Type of Placenta
Maternal Layers Retained
ExamplesEndometrialEpithelium
ConnectiveTissue
UterineEndothelium
Epitheliochorial上皮絨毛膜型 + + +
Horses, swine, ruminants
Endotheliochorial內皮絨毛膜型 - - + Dogs, cats
Hemochorial血液絨毛膜 - - - Humans, rodents
Summary of Species Differences in Placental
Architecture
Type of Placenta Common Examples
Diffuse, epitheliochorial擴散型胎盤 , 上皮絨毛膜型 Horses and pigs
Cotyledonary, epitheliochorial子葉型胎盤 , 上皮絨毛膜型
Ruminants (cattle, sheep, goats, deer)
Zonary, endotheliochorial帶狀胎盤 , 內皮絨毛膜型 Carnivores (dog, cat, ferret)
Discoid, hemochorial盤狀胎盤 , 血液絨毛膜
Humans, apes, monkeys and rodents