POSTMORTEM PATHOLOGICALFEATURES IN LIVER TISSUE OF HIV PATIENTS
Study of morbid anatomy material from dead patients suffering from HIV-related illnesses, including hepatitis С, provided an opportunity to identify substantial pathological changes in the structural elements liver that suggested other pathogenetic mechanism of development changes in patients with HIV and hepatitis С associated with impaired metabolism in erythrocytes that are collapsing, hemoglobin in the plasma of blood blood vessels of the liver. As a result of the destruction of erythrocytes, free, not associated with erythrocytes, hemoglobin cannot carry carbon dioxide from cells, hypoxia ensues the structural elements of the liver and cells are forced to use the free dissolved in plasma oxygen, which further exacerbates the occurrence of hypoxia and Anoxia and then the appearance of intoxication of the massive destruction of hemoglobin and the advent of plasma transferrin. The last captured by macrophages. The free hemoglobin in the bloodstream increases its toxic effect on tissue cells, causing cell death in the resultant ischemia, thus worsening the oxygen supply of them. As a result of the subsequent destruction of haemoglobin are formed its decay products in the form of iron рorphyrin, bilirubin, The latter contributed to the development of jaundice or acute porfirii owing to the death of hepatocytes, which manifest is to develop cirrhosis or cancer