The time needed for a wouldwound to heal is related to the type of tissue injured and the amount of tissue that needs to be "reconstructed"'reconstructed.' Cell division rate isrates are also a factor too.
Healing is a complex process that involves multiple stages.
- The body has to limit the damage that can result from thean injury. So, first it tries to stop the bleeding and then a local inflammatory process is triggered. This inflammation will:
- stop pathogens from entering the systemic circulation
- "clean"'clean' the injured tissue by removing dead cells
In order to recreate the tissue, there is the need for blood which will deliver nutrients and other factors. So, fibroblasts and endothelial cells migrate in the wounded area and form a temporary tissue withand new blood vessels whichvessels; the new tissue is called granulation tissue.
The granulation tissue allows for the formation of the definitive tissue. This is the remodelling phase. Depending on the wound, the tissue that grows can either be the same as the original one or abe fibrous scar tissue.
Looking at the time required by each of these steps:
should be the fastest as it relies on blood cells and factors that are already present in blood. Also, the wouldwound itself will stimulate the local production of some cells/factors involved (inflammatory factors, vasodilator, vasoconstrictor factors).)
and 3. depend on cell divisionthe duration of cell-division processes, extracellular matrix formation, and vascularization. Cell division time can be slowed down by thea lack of required nutrients and/substancesor substances. While While the granulation tissue forms in almost constant time no matter the injury, the final tissue depends on what type it will be. One simple example is bone tissue versus skin.
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