Surgery, with Special Reference to Podiatry — John Shaqi
Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
In this way, the leucocytes are able to pass through the interstices
between cells, or along narrow channels in the tissues. When the blood
current becomes sufficiently slow to enable them to cling to the walls
of the vessels, it is then that ameboid movement begins. Sometimes the
cells loose their hold and are swept on again, but in other cases a
minute bud of protoplasm will appear on the other side of the wall of
the vessel, opposite to the spot where the leucocyte is clinging, and
as this grows larger, a narrow neck of protoplasm can be traced
through the wall directly to the leucocyte, and presently the mass of
the leucocyte becomes proportionately smaller as the external bud of
protoplasm grows larger. The conditions are gradually reversed, the
nuclei of the cells appear outside and only a small mass of protoplasm
remains within the vessel until finally the entire leucocyte is in the
tissue outside of the vessel and is free to wander in any direction.
The mechanical part of this process is not yet understood. It is
claimed by some that small openings exist in the walls of the vessels,
between the endothelial cells which line them, to which is given the
name of _stomata_. These openings ordinarily are invisible, but they
are said to enlarge under the effect of the dilation of the vessels,
and of the alterations in their walls, produced by the inflammatory
reaction, and that the leucocytes escape through those openings.
There can be no doubt that the emigration is due to the ameboid motion
of the cell, and the discovery of the phenomenon, to which is given
the name chemotaxis, affords a sufficient explanation.
This is the influence possessed by certain substances to attract or
repulse ameboid cells. In some cases this attraction appears purely to
be mechanical, but it is probably a chemical effect of some kind in
most, if not in all, instances.
The process of inflammation produces some chemical compound which
similarly causes the cells to leave the vessels, and when there is any
inflammatory action in their neighborhood, to find their way by the
shortest route to the seat of the inflammation.
The leucocytes direct their course through the tissues to the chief
points of inflammation by reason of chemotaxis, and surround the dead
tissues, or any point of bacterial growth, or any foreign body which
may be the cause.
The wandering leucocytes form the pus cells, and if they are very
numerous, they constitute a purulent or suppurative inflammation. The
wandering cells, however, are almost entirely made up of leucocytes,
of which three forms are known, varying in size and in the size and
number of their nuclei. The leucocytes surround any foreign body, and
if the particles are small enough, they incorporate them within
themselves, in fact, they may be said to swallow them. This taking up
of particles by the wandering cells is called _phagocytosis_.
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