ГІСТОЛОГІЧНИЙ АНАЛІЗ ЛІМФОЇДНИХ УТВОРЕНЬ ШЛУНКА І ТОНКОЇ КИШКИ У КЛІНІКО-ПАТОГЕНЕТИЧНОМУ ПРОФІЛІ БАБЕЗІОЗУ

І. І. Торяник
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Abstract

Peripheral lymphoid organs respond immediately to a decrease in the body's defence responses, and their localisation and morphological specificity account for their active involvement in immunogenesis (especially in animals). This fact accentuates the morpho-functional estimation of the lymphoid tissue condition with the purpose of timely diagnostics of starting deviations and preventing the development of decompensated changes. Thus, the analysis of histological changes of the latter in natural and experimental prototypes of babesiosis is relevant. The aim of the research is to define the role of histological changes of lymphoid masses in the stomach and small intestine in the formation of the clinical and pathogenetic profile of babesiosis. We studied the structural changes of lymphoid masses of the stomach and small intestine in animals with babesiosis postmortem by histological methods. Fixation was traditionally carried out in 12% aqueous formalin solution, dehydration in alcohol (30º to absolute), and pouring (paraffin/ celloidin). Staining was conducted with eosin and haematoxylin, Van Gizon, Brasche. Analysis was performed using an Olympus BX-41 microscope, Japan (x 100; x 200; x 1350). Verification was carried out by cytological, ultramicroscopic, molecular genetic methods (polymerase chain reaction) and in a biological experiment on animals. Analysis of specimens of the lamina propria in the gastric mucosa of the animals in the experimental group and clinical observation group established that the latter contained diffuse accumulations of the lymphoid tissue. Their dispersal involved different parts of the organ, including quite large areas. Haematoxylin and eosin staining gave a clear histological pattern with a marked contrast of fragments, which contributed to diagnostic resources. Lymphoid follicles were observed occasionally, their marginal, mantle zones were blurred. The germinative centres were not detected and did not show any lucency. Neutrophilic granulocytes, monocytes and plasma cells predominated among the cellular leucocyte populations. Examination of the lymphoid apparatus of the small intestine showed predominantly diffuse nodular hyperplasia, which was widespread. A focal version of the nosological prototype was observed in individual specimens occasionally, presented as single cells (most often in the terminal parts of the organ). Histological changes of lymphoid masses of the stomach and small intestine in animals with babesiosis consisted in the development of expressive diffuse nodular hyperplasia with disorganization of the structure of lymphoid follicles, destruction of zonality of the latter, making it impossible to detect germinative centres.
组织学分析
外周淋巴器官对身体防御反应的减少立即做出反应,它们的定位和形态特异性是它们积极参与免疫发生的原因(尤其是在动物中)。这一事实强调了淋巴组织状况的形态功能评估,目的是及时诊断起始偏差并防止失代偿性变化的发展。因此,分析后者在巴贝斯虫病的自然和实验原型中的组织学变化是相关的。本研究的目的是确定胃和小肠淋巴团的组织学变化在巴贝斯病临床和发病谱形成中的作用。我们用组织学方法研究了巴贝斯虫病动物死后胃和小肠淋巴团的结构变化。传统上,固定在12%的福尔马林水溶液中进行,在酒精中脱水(30º至绝对温度),并倾倒(石蜡/火棉)。用伊红和苏木精染色,Van Gizon,Brasche。使用日本Olympus BX-41显微镜(x 100;x 200;x 1350)进行分析。通过细胞学、超微结构、分子遗传学方法(聚合酶链式反应)和动物生物学实验进行验证。对实验组和临床观察组动物胃粘膜固有层标本的分析表明,后者含有淋巴组织的弥漫性积聚。它们的扩散涉及器官的不同部分,包括相当大的区域。苏木精和伊红染色给出了清晰的组织学模式,具有明显的碎片对比,这有助于诊断资源。淋巴滤泡偶尔可见,其边缘、套带模糊。生发中心没有被检测到,也没有表现出任何明显的变化。嗜中性粒细胞、单核细胞和浆细胞在细胞白细胞群体中占主导地位。小肠淋巴组织检查显示主要为弥漫性结节性增生,广泛存在。在个别标本中偶尔会观察到疾病学原型的局部版本,表现为单个细胞(最常见的是在器官的末端)。巴贝斯虫病动物胃和小肠淋巴团的组织学变化包括表现性弥漫性结节性增生,淋巴滤泡结构紊乱,淋巴滤泡的带性破坏,无法检测出生发中心。
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