Английский язык для медиков. Коллектив авторов

under the surface. Cardiac muscle resembles striated muscle in its structure, but smooth one in its action.

      New words

      liquid – жидкость

      epithelial – эпителиальный

      layer – слой

      muscle – мышца

      body – тело

      flexible – гибкий

      elastic – эластичный

      nucleus – ядро

      smooth – гладкий

      fibre – волокно

      cardiac – сердечный

      4. Epidermis

      The integument consists of the skin (epidermis and der—mis) and associated appendages (sweat glands, sebaceous glands, hairs, and nails). Considered the largest body organ, the integument comprises approximately 16 % of total body weight. It is a highly specialized organ that functions to protect the body from injury, desiccation, and infection. It also participates in sensory reception, excretion, thermoregulation, and maintenance of water balance.

      Epidermis is the outermost layer of the integument. It is astratified squamous epithelial layer of ectodermal origin.

      Layers of the epidermis from deep to superficial consist of four strata. Stratum basale (stratum germinativum) is a proliferative basal layer of columnar—like cells that contain the fibrous protein keratin. Stratum spinosum is a multilaminar layer of cuboidal—like cells that are bound together by means of numerous cytoplasmic extensions and desmosomal junctions.

      Stratum granulosum consists of flat polygonal cells filled with basophilic keratohyalin granules. Viewed at the electron microscopic level, these cells also contain numerous mem brane—coating granules. Stratum corneum is the superficial stratum of dead cells and consists of several to many layers of flat, anucleated, and cornified (kera—tinized) cells. In the epidermis of the palms and soles, a thin, transitional zone of flat eosinophilic or pale—staining anucleated cells may occur as the stratum lucidum. This layer is found only in regions with a thick strata cor—neum.

      Cells of the epidermis: keratinocytes are the most numerous and are responsible for the production of the family of keratin proteins that provide the barrier function of the epidermis.

      Melanocytes are derivatives of neural crest ectoderm. They are found in the dermis and are also scattered among the keratinocytes in the basal layers of the epidermis. These dendritic cells produce the pigment melanin in the form melanosomes that are transferred to keratinocytes.

      Langerhans cells are dendritic cells but are members of the immune system and function as antigen—presenting cells. They have also been found in other parts of the body, including the oral cavity and lymph nodes.

      Merkel cells are found in the basal epidermis and appear function in concert with nerve fibers that are closely associated with them. At the electron microscopic level, their cytoplasm contains numerous membrane—bound granules that resemble those of catecholamine—produ—cing cells.

      New words

      epidermis – эпидермис dermis – дерма weight – вес to protect – защищать injury – рана

      cytoplasmic – цитоплазматический

      level – уровень

      flat – плоский

      palm – ладонь

      thick – толстый

      pigment – пигмент

      melanin – меланин

      nerve – нерв

      5. Dermis

      Dermis is a connective tissue layer of mesodermal origin subjacent the epidermis and its basement membrane. The dermis—epidermal junction, especially in thick skin, is characterized by numerous papillary interdigitations of the dermal connective tissue and epidermal epithelium. This increases the surface area of attachment and brings blood vessels in closer proximity to the epidermal cells. The epidemis, like epithelia in general, is devoid of blood vessel. Histologically, dermis consists of two identifiable regions.

      Papillary layer, associated principally with the dermal papillae, is the most superficial layer. It consists of a loosely packed, irregular meshwork of collagen fibrils that contain fine blood vessels and nerve endings.

      Reticular layer is the deeper dermal layer and consists of coarse collagen bundles intertwined with elastic fibers in a gel matrix. This layer is a typical dense irregular connective tissue.

      HYPODERMIS: this layer of loose vascular connective tissue is infiltrated with adipocytes and corresponds to the superficial fascia of gross anatomy. However, since it contains the deepest portions of the cutaneous glands and hairs, it is also an important part of the skin. The hypoder—mis fastens the skin to underlying muscles and other structures.

      New words

      dermis – дерма connective – соединительный membrane – мембрана junction – соединение

      to be characterized by – характеризоваться чем—то numerous – значительный

      to increase – увеличивать

      surface – поверхность area – площадь epidermal – эпидермальный thick – толстый skin – кожа

      papillary – папиллярный devoid – происходить meshwork – ячеистая сеть coarse – грубый bundle – связка interwine – сплетаться bring – приносить to consists of – состоять из to contain – содержать collagen – коллагеновый adipocyte – жировая клетка

      6. Cutaneous appendages

      Cutaneous appendages are all derivatives of the epidermis.

      Eccrine (merocrine) sweat glands are simple, coiled, tubular glands that are widely distributed over the body. Secretory portions are tightly coiled and consist of a single layer of columnar—like pyramidal cells.

      Duct portions, composed of two cuboidal cell layers, are corkscrew—shaped and open onto the epidermal surface. These glands are important in thermal regulation.

      Control of the eccrine glands is mainly by the innerva—tion of cholinergic fibers.

      Apocrine sweat glands are also simple, coiled, tubular glands but are much less abundant in their distribution than eccrine glands. They can be found in the axillary, ar—eolar, and anal regions.

      Secretory portions of these glands are composed of a single layer of cuboidal or columnar cells. They are larger and have a much wider luminal diameter than eccrine sweat glands. Myoepithelial cells surround the secretory cells within the basement membrane and contract to facilitate secretion.

      Duct portions are similar to those of eccrine sweat glands but open onto hair follicles instead of onto the epidermal surfaces.

      Functions of these glands in humans is not at all clear. Specialized apocrine glands in the ear canal (ceruminous glands) produce a secretion in conjunction with adjacent sebaceous glands to form the protective earwax (cerumen). Control of the apocrine glands is hormonal and via the innervation of adrenergic fibers. These glands do not begin to function until puberty.

      Sebaceous glands are simple, branched holocrine aci—nar glands. They usually discharge their secretions onto the hair shaft within hair follicles. These glands are found