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6. Materials for self-control:

Control questions

  1. Coagulational factors.

  2. Coagulation mechanism.

  3. Fibrin and fibrinogen degradation products and their role in hemostasis.

  4. Oral cavity role in coagulational hemostasis support.

  5. Positive paracoagulational probes at dental diseases.

                  1. Lesson 38

                  2. Fibrinolysis and anticoagulants. Blood coagulation and fibrinolysis regulation

1.The topic studied actuality. Anticoagulants and fibrinolysis represents powerful system in any organism that provides blood support in a liquid state. As it was mentioned above, oral cavity produces substances influencing on fibrinolysis. Maximal fibrinolytic activity has mixed saliva, less one – sublingual, minimal – parotid. There are plasminogen, its pro- and activators as well as inhibitors. There exists point of view that plasminogen activators role in saliva is in salivary ducts conductance preservation.

Any inflammation in its second phase is accompanied by fibrinolytic system activation.

2. Study aims:

To know: fibrinolysis process algorhythm and the process regulation, main primary and secondary anticoagulants; blood coagulation and fibrinolysis main regulative mechanisms.

To be able to: determine blood fibrinolytic activity.

3. Pre-auditory self-work materials.

3.1.Basic knowledge, skills, experiences, necessary for study the topic:

Subject

To know

To be able to

Pathophysiology

Main anticoagulants, their action mechanisms; fibrinolysis system work

Explain main pathophysiological mechanisms of anticoagulative and fibrinolytic systems disturbances

Pediatry with Neonatology

Anticoagulative and fibrinolytic systems peculiarities in different-aged children; mentioned systems disturbances ethiology, pathogenesis, diagnostics, clinics, therapy and prophylaxy principles

Treat and prevent anticoagulative and fibrinolytic systems disorders in different-aged children

Internal Diseases

Main anticoagulants, their action mechanisms; fibrinolysis system work; mentioned systems disturbances ethiology, pathogenesis, diagnostics, clinics, therapy and prophylaxy principles

Treat and prevent anticoagulative and fibrinolytic systems disorders in internal diseases clinics

Surgery

Main anticoagulants, their action mechanisms; fibrinolysis system work; mentioned systems disturbances ethiology, pathogenesis, diagnostics, clinics, therapy and prophylaxy principles in surgery

Treat and prevent anticoagulative and fibrinolytic systems disorders in the adult in surgical clinics

Dentistry

                  1. Coagulogram changes at typical pathological processes in maxillar-facial area; maxillar-facial area role in anticoagulation and fibrinolysis

                  1. To prevent and to liquidate anticoagulative and fibrinolytic systems disorders in stomatological patients