placenta - Manav Rachna
Transcript of placenta - Manav Rachna
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placenta
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• the syncytiotrophoblast grows into endometrium.• as endometrium is eroded , some of its blood
vessels are opened up, and blood from them fills the lacunar space.
• each trebaculus is initially made up of syncytiotrophoblast.
• now cells of cytotrophoblast begin to multiply and grow into trebaculus .
• the trebaculus thus have a central core of cytotrophoblast covered by outer layer of syncytium.it is surrounded by maternal blood , filling the lacunar space.
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• after implantation . The cells linning surface of morula , constitute trophoblast .
• now after the implantation of embryo , the uterine endometrium is called decidua .
• when morula reaches the uterus , the endometrium is in secretory phase .after implantation ,the features are maintained & intensified.
• the stromal cells enlarge, become vacuolated & store glycogen & lipids.this change in stromalcells is called decidual reaction.
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• the portion of decidua where placenta is to be formed---decidua basalis.
• part of decidua which seperates embryo from uterine lumen—decidua capsularis.
• part lining rest of uterine cavity is called deciduaparietalis
• decidua basalis has large amount of lipids & glycogen ( provides nutrition for embryo), also referred as decidual plate & firmly adherent to chorion.
• at end of pregnancy , decidua is shed off, along with placenta & membranes .
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Formation of chorionic villi
• villi are finger like essential functional elements of placenta .
• these villi are surrounded by maternal blood.• In the substance of villi , there are capillaries
through which fetal blood circulates.• Villi are formed as offshoots from surface of
trophoblast.• trophoblast + extraembryonic mesoderm
=constitutes chorion, the villi , arising from it called –chorionic villi
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• the chorionic villi are first formed all over trophoblastand grow into surrounding decidua.
• villi related to decidua capsularis are transitory, after some time they degenerate.
• this part of chorion becomes smooth and is called chorion leave.
• while villi that grow into decidua basalis undergo considerable development.
• along with tissues of decidua basalis these villi form a disc shaped mass which is called placenta.
• the part of chorion that helps to form the placenta is called chorionic frondosum.
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Features of chorionic villi
• the trophoblast is first made of single layer of cells.
• as these cells multiply , two distinct layers are formed.—the cells that are nearest to decidua lose their cell boundaries.
• thus one continous sheet of cytoplasm containing many nuclei ---such a tissue is called a syncytium . Hence called syncytiotrophoblast .
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• deep to it the cells retained their cell walls and form second layer called cytotrophoblast( langhan’s layer).
• The cytotrophoblast rests on extraembryonicmesoderm.
• all these elements take part in forming chorionic villi.
•
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• Each trebaculus is , made up entirely of syncytiotrophoblast .Now the cells of cytotrophoblast begin to multiply and grow into each trebaculus . The trebaculus thus come to have a central core of cytotrophoblst covered by outer layer of syncytium.
• it is surrounded by maternal blood , filling the lacunar space .the trebaculus is now called ---primary villus .
• & lacunar space is now called ---intervillousspace.
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• tertiary villi—are like secondary villi except that they are blood capilleries in the mesoderm.
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Stages of chorionic villi
• primary villi— consists of central core of cytotrophoblast covered by a layer of syncytiotrophoblast .adjoining villi are seperated by an intervillous space .
• secondary villi--- show three layers : outer syncytiotrophoblast ,an intermediate layer of cytotrophoblast and an inner layer of extraembryonic mesoderm.
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• extra embryonic mesoderm now invades centre of each primary villus –i.e mesoderm invades centre of each villus.---secondary villus.
• tertiary villus –the blood vessels of villus establish connections with circulatory system of embryo.fetalblood now circulates through the villi , maternal blood circulates through intervillous space .
• Thus cytotrophoblast grows into trebaculus does not penetrate the entire thickness of syncytium and therefore , does not come in contact with the decidua.
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Process of villous formation
• the syncytiotrophoblast grows rapidly and becomes thick . Small cavities ( called lacunae ) appear in this layer.
• the lacunae increase in size . At first they come to lie radially around blastocyst ,
• the lacunae are seperated from one another by portions of syncytium, which are called trebaculae.
• the lacunae gradually communicate with each other , so that eventually one large space is formed. Each trebaculae is surrounded all round by this lacunarspace.
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Placental membrane
• maternal blood circulates through the intervillous space and fetal blood circulates through blood vessels in villi , so maternal & fetal blood do not get mixed with each other.
• they are seperated by a membrane , made up of layers of wall of villus.these are ( constitute placental barrier)• endothelium of fetal blood vessels & its basement membrane• surrounding mesoderm• Cytotrophoblast & its basement membrane• syncytiotrophoblast.• total area of this placental membrane varies from 4-14 square meters.• In later part of pregnancy , the efficiency of membrane is increased by
disappearence of cytotrophoblast ic layer from most villi. & by considerable thinning of connective tissue,
• this membrane is initially 0.025 mm thick ,reduced to 0.002 mm later.• towards end of pregnancy fibrinoid deposit appears on membrane which reduces
its efficacy.
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Function of placenta
• enables transport of o2, water , electrolytes and nutrition. From maternal to fetal blood ( cCHO, Lipids , polypeptides, amino acids , vitamins.)
• provides for excretion of CO2, urea , and other waste products produced by fetus into maternal blood.
• maternal antibodies ( IgG, Gammaglobulin or immunoglobulins) reaching the fetus through the placenta give the fetus immunity against some infections.
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• The placenta act as a barrier and prevents many bacteria and other harmful substances from reaching the fetus.( however most viruses and bacteria including poliomyelitis , measles and rubella and some bacteria can pass through it )
• some drugs also pass through it and can produce congenital malformations.
• materal hormons do not reach fetus however synthetic progestins and oestrogens can easily cross the placenta.
• prevent antigenic reactions as by seperating maternal & fetal blood.
• it synthesizes several hormons., produced by syncytiotrophoblast.( e.g HCG , PROGESTERONE, OESTROGEN)