BS.

Dim Th Yn
(drdiemyen@gmail.com)

MC TIU
1. M t c cu to chung ca mao mch mu.
2. Nu c c im ring ca tng loi mao mch mu.
3. M t c cu to chung ca ng mch. Nu c nhng

c im khc nhau gia ng mch c v ng mch chun.

4. So snh c s ging nhau v khc nhau v cu to ca
ng mch v tnh mch. Lin h vi chc nng ca chng

trong h tun hon mu.

5. M t c nhng c im cu to ca h tun hon bch
huyt
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H tun hon

Tun hon
bch huyt

Tun hon mu
Tim

Tnh
mch
bch
huyt

H thng ng mch

ng
mch

Mao
mch

Tnh
mch

Mao
mch
bch
huyt

1. ng mch
Tim -> ng mch -> tiu M -> mao mch
1.1. Cu to chung: 3 lp o
o trong:

Lp ni m

Lp di ni m

Mng ngn chun trong: c ca s

o gia: dy nht

Cn trn hng vng

L chun, si chun, si collagen, Proteoglycan

Mch ln: mch ca mch, mng ngn chun

ngoi
o ngoi:

Mlk: nhiu si collagen v si chun chy dc

theo M

Mch ca mch, mch BH, dy TK

1. ng mch
1.2 Phn loi: Cn c vo ln, cu to lp o gia.
ng mch c

ng mch chun

Kch thc

C trung bnh, c nh: M

i, M nch

C ln: M ch, M phi

o trong

Mng ngn chun trong in

hnh

Mng ngn chun trong khng

in hnh

o gia

TP c trn chim u th

TP chun chim u th

Giu chondroitin sulfat

Giu proteoglycan

D nhn thy mng ngn

chun ngoi

Kh phn bit mng ngn

chun ngoi

o ngoi

Kh pht trin

Mng
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1. ng mch
1.3 M sinh l hc
ngha chc nng cu trc ng mch
M chun: TB c -> thay i tnh n hi ca thnh mch
M c: va n hi va co bp -> iu ha lu lng mu n tng
khu vc
Tiu M: gim p sut, tc dng mu n mao mch
Trng lc thnh mch ph thuc hot tnh TK giao cm
C quan nhn cm
Th th M cnh: trong MLK, th th ha hc: O2 CO2 , H+ -> trung
tm h hp
Th th m ch: cung M ch
Xoang cnh: gia o ngoi v o gia c tn cng TK -> p lc mu

2. Mao mch
ng knh: 9-12m.
Phn b li mao mch:
+ Dy c: phi, gan, thn, cc nim mc
+ Tha: gn, thanh mc, dy thn kinh, m c trn
+ Khng c: sn, gic mc

2. Mao mch

Cu to:
Ni m:
1 hng TB a gic dt LK= di bt, LK
khe, chm
Bo tng ta thnh l mng, nhn li
KHVT: ca s ni m, vt lm siu vi,
khng bo vi m, cc bo quan
Mng y: 50m
ca s, ko c mng y
Mt ngoi: si vng, bo tng ca 1 s
TB bm vo
TB quanh mch:
Nhnh bo tng di, bao quanh thnh
mch
Kh nng: co rt, kim sot lu thng mu
TB ngoi mc: ngoi mng y 1 s mao
mch, c kh nng thc bo

2. Mao mch
2.2 Phn loi mao mch
Cn c vo c im cu to, gm:
mao mch kn, mao mch c ca
s, mao mch kiu xoang.
2.2.1 Mao mch kn
TB ni m, mng y khng c
ca s
Nhiu vt lm siu vi, khng
bo vi m
C t bo quanh mao mch
V tr: h thn kinh TW, m c,
m m
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2. Mao mch
2.2.2 Mao mch c ca s
T bo ni m c ca s, 60-70 nm
V tr: nim mc rut, tuyn ni tit,
tiu cu thn

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2. Mao mch
2.2.3 Mao mch kiu xoang
ng i ngon ngoo, lng
rng 30 - 40m

Khong gian bo gia cc t

bo ni m rng
Lp ni m c nhiu ca s
Mng y: khng c hoc
khng lin tc
Nhiu t bo c kh nng thc
bo quanh thnh mao mch
V tr: gan, c quan to huyt
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2. Mao mch
2.3 M sinh l hc
S iu ho dng mu:
+ Tiu ng mch tin mao mch
+ Nhnh ni ng-tnh mch

+ Thn kinh, hormone.

Chc nng h mao mch:
+ Trao i cht kh, nc, cc cht ho tan

+ S: tun hon h thng 60m2, tun hon phi 40m2

+ V: 0,3m/s
Tnh thm mao mch, hng ro mu m.
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3. Tnh mch
3.1 Cu to chung

3.1.1 o trong

Lp di ni m km pht trin

Khng c mng ngn chun trong

TM c trung bnh c van tnh mch

Lp ni m

1: o trong
2: o gia
3: o ngoi
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3. Tnh mch
3.1.2 o gia

Mng hn o gia ca
ng mch cng c

Cc si c trn hng
vng, t si chun v
collagen.

3.1.3 o ngoi

o gia
o ngoi

Thnh phn collagen

hng dc pht trin
mnh.

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3. Tnh mch
3.2 Phn loi

Da vo t l gia cc phn cu to ca o gia:

Tnh mch c: TM chi
Tnh mch x: TM no, mng no
Tnh mch hn hp
Tnh mch x chun: TM pha trn tim
Tnh mch x c: TM su cnh tay
Tnh mch c chun: TM chi di
Cn c vo ng knh tnh mch chia thnh 3 loi:
Tiu tnh mch
Tnh mch c trung bnh
Tnh mch c ln
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4. H thng ca
4.1 H thng ca tnh mch

Mt tnh mch nm xen gia hai li mao mch

gan: li mao mch rut non
mch nan hoa

tnh mch ca

li mao

Vng di iyn: li mao mch phn phu

tiu tnh
mch dc cung tuyn yn
li mao mch thu trc tuyn
yn
4.2 H thng ca ng mch
Mt ng mch nm xen gia hai li mao mch
thn: chm mao mch Malpighi
tiu ng mch i
li mao mch quanh cc on ng sinh niu
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5. Tim
5.1 Mng trong tim
Ging lp o trong ca mch mu: lp ni m, lp di ni
m (collagen, t si chun, NBS, TK t ng).
Van tim l np gp ca mng trong tim, khng c mch mu
5.2 C tim, h thng m nt
5.3 Mng ngoi tim
Thanh mc: l thnh, l tng
Khoang ngoi tim: cha 50 ml thanh dch

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19

Tun hon bch huyt

Mao mch mu
Khong k
Mao mch BH
Mch BH
ng BH
TM ln
Tim

Chc nng chnh:

1. Duy tr p lc, th tch dch khong k
2. Vn chuyn cc cht c phn t lng ln vo mu:
protein, cht bo, hormone, enzyme.
3. Tham gia h thng min dch bo v c th
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Tun hon bch huyt

Mch bch huyt c hu ht
cc c quan, tr: thn kinh
trung

ng,

sn,

xng, tu xng, tuyn c,

rng, rau

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Tun hon bch huyt

1.Cu to chung
1.1 Mao mch bch huyt
Mt lp t bo ni m dt
Khng c mng y
Nhm x nh 5-10nm
1.2 Mch bch huyt
Thnh mng, kh phn bit 3 lp o
Mt van nhiu hn tnh mch
1.3 ng bch huyt

Kh phn bit 3 lp o
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Ti Liu Tham Kho

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